INTRODUCTION TO CRITICAL CARE NURSING 7TH EDITION SOLE TEST BANK
Chapter 11: Organ Donation Sole: Introduction to Critical Care Nursing, 7th Edition MULTIPLE CHOICE 1. The nurse is caring for a patient who has a Glasgow Coma Scale (GCS) score of 3.
Discussions have been held with the family about withdrawing life support. Which statement by the nurse best describes requirements that must be met to sustain Centers for Medicare and Medicaid Services (CMS) Conditions of Participation? a. “I need to notify the local Organ Procurement Organization of my patient’s impending death.” b. “I will contact the provider to obtain informed consent for organ donation.” c. “The charge nurse will notify the local Organ Procurement Organization once the patient has been pronounced brain dead.” d. “I need the physician to evaluate my patient’s suitability for organ donation.” ANS: A
Hospitals that receive Medicare or Medicaid reimbursement must notify the local OPO in cases of impending death. It is the responsibility of the organ procurement organization, not the provider, to obtain family consent for organ donation and to evaluate the patient for potential suitability as a donor. Notification of the organ procurement organization must occur before death, not after the patient has been pronounced dead. DIF: Cognitive Level: Understand/Comprehension REF: p. 233 OBJ: Discuss processes associated with organ donation. TOP: Nursing Process Step: Implementation NURSINGTB.COM MSC: NCLEX Client Needs Category: Safe and Effective Care Environment 2. The nurse is managing a donor patient six hours before the scheduled harvesting of the
patient’s organs. Which assessment finding requires immediate action by the nurse? a. Morning serum blood glucose of 128 mg/dL b. pH 7.30; PaCO2 38 mm Hg; HCO3 16 mEq/L c. Pulmonary artery temperature of 97.8° F d. Central venous pressure of 8 mm Hg ANS: B
Donor management focuses on maintaining hemodynamic stability and normal laboratory parameters. Standardized order sets are usually used, and they focus on preserving organ function and viability. Immediate action is required for an arterial blood gas value of pH 7.30; PaCO2 38 mmHg; HCO3 16 mEq/L. The finding indicates metabolic acidosis. All other values are within normal limits. DIF: Cognitive Level: Analyze/Analysis REF: p. 239 OBJ: Describe clinical triggers associated with brain death. TOP: Nursing Process Step: Implementation MSC: NCLEX Client Needs Category: Safe and Effective Care Environment
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