Author Question: The nurse who works with the organ donation team explains the definition of death prior to tissue ... (Read 72 times)

tiara099 · **on:** Jul 22, 2018

The nurse who works with the organ donation team explains the definition of death prior to tissue harvesting as being:

1. Absence of reflexes
2. Total lack of response to external stimuli
3. Presence of two EEGs showing no brain activity
4. No voluntary muscular movement

Question 2

The nurse is preparing to perform a focused assessment, using inspection, of a 10-year-old client admitted with asthma. The nurse is aware that a quiet environment is best for the assessment for which of the following reasons?

1. The client might be bothered by noise and have another attack.
2. Hearing audible wheezes is an important part of inspection.
3. The child's blood pressure will rise in a noisy environment.
4. The client will not be able to hear the nurse's questions.

31809pancho · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3
Rationale: Absence of reflexes is an indication of clinical death but not an acceptable indication of death.

Answer to Question 2

2
Rationale: The senses of hearing and smell are important aspects of inspection. The nurse would need to be able to hear inspiratory or expiratory wheezes of the child. The child's blood pressure will not likely be affected by noise at this age, and noise would not contribute to another asthma attack. Most children hear relatively well in a noisy environment.