A patient in a critical care area has passed away. Who is the best person to approach the family about organ donation?
1. The nurse
2. The organ procurement specialist
3. The doctor
4. A member of the clergy
2
Rationale 1: The nurse is not the best person trained to approach families about organ donation.
Rationale 2: Families are likely to donate if approached by an organ procurement specialist.
Rationale 3: The doctor can discuss organ donation with the family but is not the best person trained to approach families about organ donation.
Rationale 4: The clergy should not approach a family regarding donation.
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The nurse caring for a patient who has had an open cholecystectomy with a T-Tube will:
a. open the T-tube to the air so that it will drain freely. b. position and secure the drainage bag at the chest level. c. Place the collection bag so the tube is not kinked. d. Irrigate the T-tube with normal saline to ensure the free flow of bile.
The patient who had surgery yesterday reports his chest feels tight. Assessment reveals respiratory rate of 29, inspiratory wheezes, stridor, and an oxygenation saturation of 80%. The nurse would consider this patient to be which priority for transfer to the intensive care unit
1. Priority 1 2. Priority 2 3. Priority 3 4. Priority 4
Which statement about tracheostomies is correct?
a. The nurse removes the inner and outer cannulas for cleaning. b. The ties are never to be removed. c. For an adult, three fingers should slide under the ties or collar. d. Standard Precautions and the Bloodborne Pathogen Standard are followed during tracheostomy care.
A client is admitted to the psychiatric unit with a diagnosis of conversion disorder. Since witnessing the beating of his wife at gunpoint, he has been unable to move his arms, complaining that they are paralyzed. When planning the client's care, the nurse should focus on:
A. helping the client identify and verbalize feelings about the incident. B. convincing the client that his arms aren't paralyzed. C. developing rehabilitation strategies to help the client learn to live with the disability. D. talking about topics other than the beating to avoid causing anxiety.