hard · NCLEX-RN Management of Care
The nurse is formulating the immediate care plan for this patient to support potential organ procurement. Which interventions should the nurse include? Select all that apply. Apply the response specifically to this case: neurologic determination of death and organ-procurement referral with treatment-team independence, required donor-network notification, family questions, and continued physiologic support.
- Administer prescribed intravenous potassium chloride to correct hypokalemia.
- Apply active warming blankets to maintain core temperature above 36°C (96.8°F).
- Titrate norepinephrine infusion as prescribed to achieve a target MAP of 65 mmHg or higher.
- Switch the intravenous fluid from normal saline to 5% dextrose in water if serum sodium rises above 155 mEq/L.
- Initiate a continuous intravenous heparin infusion to prevent microthrombi in donor organs.
- Discontinue mechanical ventilation for 10 minutes hourly to assess for spontaneous respiratory efforts.
Sign up free to see the explanation and track your rank →
More NCLEX-RN Management of Care practice
- Which action should the nurse take first?
- A client with a new tracheostomy requires suctioning. Which part of this care can be deleg
- Which instruction is essential to ensure safety and accuracy?
- Which response by the RN best demonstrates professional advocacy?
- Which action can be delegated to the LPN/VN?
- The RN is prioritizing four clients for morning care. Which client should be seen first?
- Which finding would most likely indicate that the medication is having the intended therap
- Which task is most appropriate to retain and perform solely by the RN?