When caring for a patient who is an appropriate candidate for ...

[Chloeellawright]

When caring for a patient who is an appropriate candidate for organ or tissue donation, the nurse knows that requests for donation are:
 
  a. required by state law.
  b. the total responsibility of the survivors.
  c. a possible inclusion in the advance directive.
  d. made only by the physician.

Question 2

An expected assessment finding for an enterostomy is:
 
  A. A moist, reddish-pink stoma
  B. A dry, purplish stoma
  C. Erythema on the skin around the stoma
  D. No blood noted from the stoma when washed

[Li Jun]

Answer to Question 1

C
A patient's choice regarding organ and tissue donation can be included in an advance directive. The 1986 Omnibus Budget Reconciliation Act (OBRA) requires that a patient's significant others be offered the option of organ and tissue donation; however, organ donation is voluntary. It is important for persons to keep family members informed of their wishes regarding organ donation. Because of the sensitive nature of making requests for organ donation, professionals educated in organ procurement often assume that responsibility. They inform family members of their options for donation, provide information about costs (no cost to the family), and inform the family that donation does not delay funeral arrangements.

Answer to Question 2

A
A. Stoma is moist and reddish pink. Skin is intact and free of irritation.
B. Necrotic stoma is manifested by purple or black color, dry instead of moist texture.
C. Skin is intact and free of irritation.
D. Assess circulation to stoma. Necrotic stoma is manifested by failure to bleed when washed gently or by presence of tissue sloughing.