The nurse is caring for a client who died shortly after arriving in the emergency department for resuscitative care. The family states they do not want an autopsy. Which does the nurse include in family teaching?
1. The family can specify limitations to the autopsy.
2. State law requires an autopsy for a coroner's case.
3. Organ and tissue donation is impossible after autopsy.
4. Families can decline the autopsy for religious reasons.
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2 and 4. Although this can be a volatile subject, the nurse invites the family to a pri-vate, quiet area and instructs the family about the autopsy; law requires it because the client was in the hospital less than 24 hours. Deaths are also ruled as coroner's cases when the client dies from violence or under suspicious circumstances. The family, unfortunately, has no influence on the autopsy.
1. The family is usually not allowed to limit the autopsy of a coroner's case because the medical examiner needs the discretion to explore the necessary body structure to determine the cause of death.
3. The family can specify the desire to donate organs and tissue; however, the possi-ble donations are generally limited to skin, eyes, and bone when an autopsy is per-formed.
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An intensive care nurse discusses withdrawal of care with a client's family. The family expresses concerns related to discontinuation of therapy. How should the nurse respond?
a. "I understand your concerns, but in this state, discontinuation of care is not a form of active euthanasia." b. "You will need to talk to the provider because I am not legally allowed to participate in the withdrawal of life support." c. "I realize this is a difficult decision. Discontinuation of therapy will allow the client to die a natural death." d. "There is no need to worry. Most religious organizations support the client's decision to stop medical treatment."
Politics exist because:
a. resources are limited c. hospitals control resources b. resources are abundant d. organizations control resources
A Caucasian nurse is caring for a Native American after a stroke. The nurse finds the patient sleeping while holding several small feathers bound by a beaded leather thong. The nurse should consider the possibility that this is
a. an interesting trinket to brighten the environment. b. a gift from his grandchildren to make him feel closer to the family. c. an important item used in native healing practices. d. an item that might introduce microorganisms into the hospital environment.
A client with COPD is in the hospital. When planning care, which diagnosis takes priority?
a. Activity Intolerance b. Anxiety c. Imbalanced Nutrition d. Impaired Gas Exchange