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 C
Explanation
A. Discontinuing pain medication may not be appropriate, as it can lead to inadequate pain management for the patient. Pain management is crucial for terminally ill patients.
B. While abdominal massage may help relieve mild constipation, it is not a reliable primary intervention for more severe constipation caused by medication.
C. Laxatives are commonly prescribed for constipation related to pain medication and are an effective method to promote bowel movements, making this the best choice.
D. Administering enemas twice daily can be excessive and may cause discomfort or lead to dependency, making this option less favorable than using laxatives.
Correct Answer is D
Explanation
A. While hospice care is appropriate for those with terminal illnesses, the criteria are more specifically defined by life expectancy rather than just the diagnosis itself.
B. Although pain management is a significant aspect of hospice care, the criteria for eligibility focus on life expectancy rather than need for pain management alone.
C. Completion of an advance directive is encouraged but not a specific criterion for hospice care; patients can receive hospice services without having an advance directive in place.
D. Hospice care is typically designated for patients who are expected to live less than 6 months, focusing on providing comfort and support in the final stages of life.