A nurse caring for a client at the end of life receives notification of the client's eligibility for organ donation. Which action should the nurse take?

Choice A reason: Advocating for organ donation places the nurse’s values or the healthcare system’s needs above the client’s autonomy. Ethical nursing practice requires that organ donation decisions remain voluntary and free from pressure. The nurse must not promote or persuade the client to donate organs, especially at the end of life, as this may compromise ethical boundaries and trust. Choice B reason: While determining a client’s wishes is important, initiating discussions about organ donation is not the nurse’s responsibility unless the client independently expresses interest. Conversations about organ donation are typically handled by designated personnel to avoid coercion and ensure ethical compliance. The nurse should not independently consult the client about donation eligibility at the end of life. Choice C reason: Discussing organ donation with the family is also not the nurse’s role unless specifically directed by institutional policy and coordinated through the appropriate organ procurement organization. Introducing the topic directly may cause emotional distress and may be perceived as pressure during a vulnerable time. Choice D reason: The nurse’s primary responsibility at the end of life is to prioritize comfort care measures, including pain management, emotional support, and preservation of dignity. End-of-life nursing care focuses on alleviating suffering and supporting the client and family, regardless of organ donation eligibility. This action aligns with ethical principles of beneficence and nonmaleficence.