The nurse is caring for a patient who is declared brain dead and is an organ donor. The following events occur: 1300 Diagnostic tests for brain death are completed
1330 Intensivist reviews diagnostic test results and writes in the progress note that the patient is brain dead. 1400 Patient is taken to the operating room for organ retrieval. 1800 All organs have been retrieved for donation. The ventilator is discontinued. 1810 Cardiac monitor shows flatline. What is the official time of death recorded in the medical record? a. 1300
b. 1330
c. 1400
d. 1800
e. 1810
B
The time of death is when brain death is confirmed and documented in the chart, even though the patient's heart is still beating. Organs are retrieved after brain death has been documented.
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A child presents to the pediatric clinic, where the parent reports that the child has had bloody diarrhea and joint pain. Which diagnostic test does the nurse prepare the child and parent for first?
A. Echocardiogram B. Skin assessment C. Serum renal studies D. Urinalysis
A client approaches the unit charge nurse and states he wants to talk to the mental health advocate
immediately about getting released. The unit has no pay phone and agency policy does not permit clients to enter the nurses' station. The nurse should a. tell the client to secure a physician's order to leave the unit to make the call. b. give the client a pen and paper and ask him to write the advocate. c. document the request in the client's medical record. d. call the advocate and convey the client's request.
The patient scheduled for a Syme amputation in the morning is concerned about the ability to stand on the amputated extremity. The patient asks the nurse about his ability to stand after surgery. What is the nurse's best response to this question?
A) "You will be able to withstand full weight-bearing on this durable extremity after the amputation." B) "You will have minimal weight-bearing on this extremity and will require the use of an assistive device." C) "You will not be able to use this extremity and will receive teaching on use of a wheelchair." D) "You will be fitted for a prosthesis and your commitment to rehabilitation will determine your functional abilities."
Excessive, ill-timed, or unrelieved stress is called __________
Fill in the blank(s) with correct word