The nurse is caring for a client who just died. Which should the nurse implement to obtain consent for organ and tissue donation?
1. Delegates the task to the nursing assistant
2. Determines the client's legal representative
3. Requests a copy of client's driver's license
4. Asks spouse to sign organ donation consent
2
2. The nurse discusses organ donation with the client's legal representative who is, usually, the spouse or a first-degree relative; however, the nurse avoids approaching a common law spouse because he or she has no legal rights.
1. The task of discussing organ donation and obtaining consent is a task the nurse cannot delegate because it requires clinical judgment and critical thinking.
3. A copy of the client's driver's license can be impractical or impossible to obtain soon enough to donate viable organs; generally, the family knows the client's wishes about organ donation.
4. If the spouse is the client's legal representative, the spouse can provide consent.
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A nurse is caring for a client with idiopathic thrombocytopenia purpura (ITP). What
intervention should be performed when caring for this client? A) Instruct the client to avoid the use of an electric razor B) Monitor the client for an increase in blood pressure C) Inform the client about the adverse effects of cytotoxic agents D) Watch the client for signs of unusual pallor
These statements are about restraint alternatives. Which is correct?
a. They are part of the person's care plan. b. They require a doctor's order. c. The least restrictive method is required. d. They prevent or control a behavior.
The nurse controls the IV flow
Indicate whether the statement is true or false.
A migrant worker client is brought to the emergency department for an injury, and it soon becomes evident that the client cannot speak English. A nurse on duty offers to find an interpreter so the client can communicate with the medical staff
The nurse's offer is an example of which type of nursing intervention? A) Milieu therapy B) Conflict resolution C) Cultural brokering D) Structured interaction