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Carrying a donor card for organ donation means that:
- A. medical care is altered in the event of serious injuries to get organs for donation.
- B. the family or legally responsible party of a client has no decision-making authority in the event that the client is considered for organ donation.
- C. a client is allowed to revoke his decision for organ donation at any time.
- D. a client is considered an organ donor for only one organ or tissue.
Correct Answer: C
Rationale: Revocation of the decision for organ donation may occur at any time, by either the client or his responsible party. When organ donation is considered, as many organs as the donor wished to donate are considered and accepted for donation if found appropriate. Medical care for an individual during immediate care and/or resuscitation is not altered to declare a client dead and ready for organ donation.
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While taking care of a client, the nurse thinks that physical therapy in the hospital might be beneficial to their condition. Which of the following is the ideal referral process? A.Transport the client to the physical therapy room for treatment. ,B.Provide the client's medical record to the physical therapist. ,C.Contact the client's primary care provider to suggest a physical therapy referral.
- A. A) A, C, B
- B. B) A, B, C
- C. C) C, A, B
- D. D) C, B, A
Correct Answer: D
Rationale: For the client's referral to physical therapy, the nurse should first contact the primary care provider to discuss. Once the primary care provider provides the official referral, the physical therapist should have an opportunity to review the client's condition and medical record. Once the physical therapist has completed their review and is ready to see the client, the nurse can transport the client to physical therapy.
A preschooler has successfully completed the test item 'counts 5 blocks' on the Denver II test. This pass is evidence of which of the following developmental concepts?
- A. centration
- B. causality
- C. nonreversibility
- D. conservation
Correct Answer: D
Rationale: Counting five blocks demonstrates conservation, the understanding that quantity remains constant despite changes in arrangement or appearance.
Vaccines provide what type of immunity?
- A. active
- B. passive
- C. transplacental
- D. active and passive
Correct Answer: A
Rationale: Vaccines stimulate the body's immune system to produce antibodies, conferring active immunity. Passive immunity involves transferred antibodies, and transplacental immunity is a form of passive immunity from mother to fetus.
The nurse is caring for a client who is unsure they will be able to make medical decisions as their disease progresses and would like to appoint another individual to have the authority to make these decisions. Which of the following options would be most appropriate?
- A. a living will
- B. informed consent
- C. a healthcare proxy
- D. non-informed consent
Correct Answer: C
Rationale: A healthcare proxy involves the client appointing an individual to make medical decisions with regard to their treatment if they are unable to do so themselves.
Which of the following is not true of clinical pathways?
- A. They need to be updated daily.
- B. They show how the client is expected to respond to their diagnosis.
- C. The goal is improvement or discharge from the facility.
- D. They are evidence based.
Correct Answer: A
Rationale: Clinical pathways may be daily or weekly, so they may not need to be updated every day.