NCLEX-RN

Category - Care Management

Rick Rescue, RN is working in the intensive care unit (ICU). The family of a 30-year-old client involved in a motorcycle accident has been advised that the client’s second EEG result indicate brain death. Previously, the client completed an advance directive documenting his wishes for no artificial life support; however, the client did not leave instructions regarding organ donation, nor did he register as an organ donor. The family accepts the client’s wishes for no artificial life support, and asks Rick Rescue, RN if the client is eligible for organ donation. What is the best response?
  1. “What a generous act. Your son certainly is eligible. I will call the organ-donor rep, if you like.”
  2. “What a lovely thought; however, your son didn’t indicate an interest in an organ donation program and so it isn’t possible”.
  3. “I don’t have any information on that; you can bring it up with the doctor.”
  4. “This is a very difficult time, would you like time to think about this?”
Explanation
Answer: A - Generally, because organ and tissue donation is an emotionally- sensitive topic (as well as time-sensitive), most facilities have an organ donation team, trained to approach families of eligible donors and coordinate organ and tissue transplants. Rick Rescue, RN is fulfilling his role as client advocate by providing the family with information needed to make their decision. A family may choose to donate tissue and organs when a client did not leave instructions stating his/her wishes. However, a family may not refuse organ donation if a client previously registered as an organ donor.
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