If a client dies within 24 hours of admission, who has the authority to decide whether a post-mortem should be conducted?

• A. Surviving Spouse
• B. Medical Examiner
• C. Primary Healthcare Provider
• D. Nursing Manager

Answer: (B)

When a death occurs within 24 hours of admission or under hospital care, the decision about a post-mortem is governed by the Medical Examiner (or coroner). This office has the legal authority to order or deny an autopsy to determine the cause and manner of death, especially in cases that are sudden, unexpected, or potentially related to medical care. Family members may be consulted and may consent in jurisdictions where a voluntary autopsy is allowed, but they do not have the final authority to make the decision. The surviving spouse, a primary healthcare provider, or a nursing manager do not have the legal authority to unilaterally order or refuse an autopsy.