medium · NCLEX-RN Management of Care

A 19-year-old client with a catastrophic cervical spine injury is determined to have no chance of neurologic recovery. The family has decided to withdraw life-sustaining therapy (comfort measures only) and has consented to Donation after Circulatory Death (DCD).

Which action should the nurse prioritize to coordinate the donation process safely?

  1. Coordinate with the transplant team to transfer the client to the operating room suite for the planned withdrawal of life support.
  2. Request that the provider postpone the withdrawal of life support until a matching recipient is located at the bedside, for this client.
  3. Administer a high-dose intravenous heparin bolus in the ICU prior to receiving a specific provider prescription, for this client.
  4. Discontinue the mechanical ventilator and infusing vasopressor lines in the client's ICU room immediately.

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