A 17-year-old patient, dying of heart failure, wants to have organs removed for transplantation after death. Which action by the nurse is correct?
Notify the health care provider about the patient's desire to donate organs.
Contact the United Network for Organ Sharing after talking with the patient.
Instruct the patient to talk with parents about the desire to donate organs.
Prepare the organ donation form for the patient to sign while still oriented.
The Correct Answer is C
A. Notifying the health care provider is not the most appropriate first action, as parental consent is needed.
B. Contacting the United Network for Organ Sharing is premature without consent from the parents.
C. Since the patient is a minor, parental consent is generally required for organ donation. Instructing the patient to discuss this desire with their parents is essential for obtaining legal consent.
D. Preparing the organ donation form is also premature, as minors cannot legally consent without parental approval.
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Correct Answer is B
Explanation
A. Ventricular filling time and diastolic filling time are not formulas used to calculate cardiac output; they pertain to the phases of the cardiac cycle.
B. Cardiac output is calculated by multiplying stroke volume (the amount of blood ejected by the heart with each beat) by heart rate (the number of beats per minute). This formula accurately reflects the overall volume of blood the heart pumps in one minute.
C. Myocardial contractility and myocardial blood flow are important factors in cardiac function but do not directly provide a formula for calculating cardiac output.
D. Preload and afterload are factors that affect stroke volume but are not used to calculate cardiac output directly.
Correct Answer is A
Explanation
A. This outcome is specific, measurable, and directly addresses the goal of managing constipation by aiming for a bowel movement.
B. Discontinuing pain medication abruptly may be unrealistic and can cause distress for the patient.
C. Ambulation may help with constipation but does not directly measure or ensure bowel movement.
D. Offering laxatives or stool softeners is an intervention rather than a measurable patient outcome.