A client brought to the emergency department is dead on arrival (DOA). The family of the client tells the physician that the client had terminal cancer. The emergency department physician ex-amines the client and asks the registered nurse (RN) to contact the medical examiner regarding an autopsy. The family of the client tells the RN that they do not want an autopsy performed. Which of the following responses to the family is most appropriate?

Question

a. "An autopsy is mandatory for any client who is DOA."
b. "The decision is made by the medical examiner."
c. "I will contact the medical examiner regarding your request."
d. "It is required by federal law. Why don't we talk about it, and why don't you tell me how you feel?"

Answer 1

3

Rationale: An autopsy is required by state law in certain circumstances, including the sudden death of a client and a death that occurs under suspicious circumstances. The client may have provided oral or written instructions regarding an autopsy following death. If an autopsy is not required by law, these oral or written requests will be granted. If no oral or written instructions were provided, state law determines who has the authority to consent for an autopsy. Most often, the decision rests with the surviving relative or next of kin.