A 19 year old client is admitted to the emergency room after a severe motor vehicle accident. The client's driver's license has an organ donation code specified. The nurse explains to the family that
1. The client will have organs harvested within 24 hours
2. The client must experience heart-lung death before organs can be harvested
3. The client is too young to become an organ donor
4. The presence of two electroencephalograms showing no brain activity over 24 hours is required prior to declaration of death
4
Rationale: The client will not have the organ donation process started without specific criteria being met.
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A patient is admitted after an acute lung injury from smoke inhalation. If the patient develops acute respiratory distress syndrome (ARDS), what is the first symptom the nurse will find?
A) Patchy infiltrate on chest x-ray B) Pulmonary capillary wedge pressure less than 18 C) Increasing tachypnea and air hunger D) Low plasma brain natriuretic peptide (BNP)
Staff is assembling for shift assignments. Which of the following nursing actions identifies the manager's responsibility on the clinical unit?
A) The manager assesses the clients on the clinical unit and updates the physician. B) The manager assures that adequate care is given by the staff and assesses the flow of activities on the clinical unit. C) The manager removes the physician orders from the chart and notes completion. D) The manager attends facility meetings and plans the goals of the healthcare facility.
The mother of a teenage girl voices concerns about her daughter's acne. Which response by the nurse is best?
1. "The skin needs to be washed at least twice a day with mild soap and water to remove surface oil." 2. "The greatest culprit for acne is dietary habits, not inadequate hygiene." 3. "Are you embarrassed by her appearance?" 4. "What are your concerns about her hygiene practices?"
Clients taking carbamazepine should have which test monitored routinely?
a. liver function tests c. complete blood count b. renal function tests d. skin biopsy