A nurse is caring for a client who asks for information regarding organ donation. Which of the following responses should the nurse make?
Your name cannot be removed once you are listed on the organ donor list
You must be at least 21 years of age to become an organ donor
I cannot be a witness for your consent to donate
Your desire to be an organ donor must be documented in writing
The Correct Answer is D
the correct answer is d. Your desire to be an organ donor must be documented in writing. This is because organ donation is a legal and medical process that requires your consent and documentation1. Some of the other options are incorrect or misleading. Here are some explanations:
- a. Your name can be removed once you are listed on the organ donor list2. You can change your mind at any time and revoke your consent to donate
- b. You do not have to be at least 21 years of age to become an organ donor2. Many states allow people younger than 18 to register as organ donors, but they need parental or guardian consent if they die before their 18th birthday
- c. You can have a witness for your consent to donate, but it is not required1. Some states may require a witness signature on your donor card or registration form, but others do not
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
This is because coarctation of the aorta is a congenital condition where the aorta is narrow, usually in the area where the ductus arteriosus inserts. This causes a decrease in blood flow to the lower body, resulting in weak or absent pulses in the femoral arteries.
The other choices are incorrect for the following reasons:
- Choice A, frequent nosebleeds, is not a typical sign of coarctation of the aorta.
Nosebleeds can be caused by many factors, such as dry air, allergies, trauma, or bleeding disorders.
- Choice B, upper extremity hypotension, is also not a common finding in coarctation of the aorta. In fact, patients with this condition may have high blood pressure in the upper extremities due to the increased resistance of the narrowed aorta.
- Choice D, increased intracranial pressure, is not directly related to coarctation of the aorta.
Increased intracranial pressure can be caused by various conditions that affect the brain, such as head injury, stroke, infection, or tumor.
Normal ranges for blood pressure and pulse vary depending on age, sex, and health status.
However, some general guidelines are:
- Blood pressure: less than 120/80 mmHg for adults; less than 95/65 mmHg for infants.
- Pulse: 60 to 100 beats per minute for adults; 100 to 160 beats per minute for infants.
Correct Answer is B
Explanation
The correct answer is choice B. How to operate the portable suction machine. The nurse should include this information in the teaching because suctioning is often needed to keep the tracheostomy tube and opening free from extra mucus and secretions that come from the lungs and tissue around the stoma. Suctioning can help prevent the tube from becoming plugged and improve breathing.
Choice A is wrong because the nondisposable tracheostomy tube does not need to be changed daily. It can be changed every 1 to 3 months, depending on the type of tube.
Choice C is wrong because the tracheostomy dressing should be changed using sterile technique, not clean technique, to prevent infection.
Choice D is wrong because the tracheostomy tube should not be secured with ties at the back of the neck. The ties should be fastened at the front or side of the neck, and they should be snug but not too tight.
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