A nurse is discussing organ donation with a newly licensed nurse. Which of the following statements should the nurse include in the teaching? (Select all that apply.)

"To harvest a client's organs, they must provide consent prior to death."

"The donor client's provider will harvest the organs for donation."

"During admission, all clients over the age of 18 should be asked about their organ donor status."

"The National Organ Transplant Act prohibits the sale and purchase of organs."

"Documentation about the client's organ donor preference is placed in the electronic medical record."

Answer and Explanation

Correct Answer : C,D,E

A. "To harvest a client's organs, they must provide consent prior to death.": Consent can be obtained after death if the individual had previously registered as a donor or if the next of kin provides consent. Organ donation can still occur if the donor has indicated their wishes prior to passing.

B. "The donor client's provider will harvest the organs for donation.": Organ harvesting is typically performed by a specialized team trained in organ procurement, not the primary care provider. The harvesting is conducted by professionals specifically designated for that purpose, ensuring expertise and proper protocols are followed.

C. "During admission, all clients over the age of 18 should be asked about their organ donor status.": It is standard practice to inquire about organ donation status upon admission to ensure that the healthcare team is aware of the client's wishes regarding organ donation. This process helps facilitate informed discussions and planning for potential organ donation.

D. "The National Organ Transplant Act prohibits the sale and purchase of organs.": The Act emphasizes that organ donation should be voluntary and altruistic, making it illegal to buy or sell organs. This law is in place to protect the integrity of the organ donation system and ensure ethical practices.

E. "Documentation about the client's organ donor preference is placed in the electronic medical record.": Documenting the client's organ donor status in their electronic medical record ensures that healthcare providers have access to this important information. It helps to facilitate communication among healthcare providers and supports adherence to the client's wishes.

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Correct Answer is C

Explanation

A. Loud volume of the television set. While a loud television may indicate hearing impairment, it does not pose an immediate safety risk. The nurse should assess the client’s hearing and provide recommendations if needed, but addressing environmental hazards that increase the risk of falls takes priority.

B. Wall-to-wall carpet in the living room. Unlike loose rugs, wall-to-wall carpeting reduces the risk of tripping and slipping. It provides better traction for walking, making it a safer flooring option for older adults compared to hard surfaces or throw rugs.

C. Low chairs without armrests. Low chairs make it difficult for older adults to stand up, increasing the risk of falls. The absence of armrests further reduces stability and support when rising from a seated position. Recommending higher chairs with armrests can enhance mobility and prevent injuries.

D. Use of indirect lighting. Soft, indirect lighting can help reduce glare and improve comfort, but it may not necessarily create safety concerns. However, inadequate lighting in critical areas, such as hallways or staircases, should be assessed to prevent falls.

A. The client has a do-not-resuscitate (DNR) prescription. B. The client has a continuous IV of lactated Ringer's. C. The client was straight catheterized for 350 mL 2 hr ago. D. The client has Medicare insurance. E. The client lives in a one-story home.

Correct Answer is ["A","B","C"]

Explanation

A. The client has a do-not-resuscitate (DNR) prescription: Including the client’s code status is essential for ensuring that the receiving medical-surgical team follows the appropriate resuscitation plan. This information directly impacts emergency decision-making and aligns with the client's wishes.

B. The client has a continuous IV of lactated Ringer’s: Reporting active IV fluids is necessary for continuity of care, as it affects fluid balance, medication administration, and overall treatment planning. The receiving nurse must be aware of the infusion to monitor for effectiveness and complications.

C. The client was straight catheterized for 350 mL 2 hr ago: Details about recent procedures, such as urinary catheterization, are relevant to ongoing assessment and care. Monitoring urinary output helps evaluate kidney function and fluid status, making it crucial information for the next shift.

D. The client has Medicare insurance: Insurance details are important for administrative and billing purposes but do not directly impact immediate patient care. This information is typically managed by case management or the hospital’s financial services.

E. The client lives in a one-story home: While discharge planning may involve assessing home arrangements, this detail is not immediately necessary for a shift report. Relevant home considerations should be discussed later when planning for discharge and follow-up care.

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A nurse is discussing organ donation with a newly licensed nurse. Which of the following statements should the nurse include in the teaching? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

A nurse is conducting a home visit with an older adult client. Which of the following observations should the nurse address to promote a safe environment?

Correct Answer is C

Explanation

A nurse in an emergency department is preparing change-of-shift report for an adult client who is transferring to a medical-surgical unit using the SBAR communication tool. Which of the following information should the nurse include in the report? (Select all that apply.)

Correct Answer is ["A","B","C"]

Explanation

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