A nurse is caring for a client who has just died. Which of the following actions should the nurse take?

Leave noninvasive equipment on the client's body.

Remove the client's dentures.

Turn the lights up in the client's room.

Close the client's eyes before the family views the body.

Answer and Explanation

The Correct Answer is B

A. Leave noninvasive equipment on the client's body. This is incorrect. Noninvasive equipment, such as oxygen tubing or blood pressure cuffs, should be removed before the family views the body to allow for a respectful presentation of the deceased.

B. Remove the client's dentures. This is the correct action. Dentures should be removed after death to preserve the appearance of the face. They should be cleaned and placed with the client’s belongings.

C. Turn the lights up in the client's room. This is not recommended. The lights should generally be dimmed to create a more peaceful and respectful environment for family members.

D. Close the client's eyes before the family views the body. While it is respectful to close the client’s eyes, this action should only be taken if the family has not yet viewed the body. If the family wishes to see the deceased with their eyes open, the nurse should respect that preference.

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Correct Answer is C

Explanation

A. Give a dose of alendronate is incorrect. Alendronate is a medication used to treat osteoporosis, and it does not address low potassium levels. In this case, the focus should be on correcting the potassium imbalance.

B. Administer furosemide is incorrect. Furosemide is a diuretic that can cause further loss of potassium. In a client with low potassium levels (hypokalemia., administering furosemide could worsen the condition and lead to life-threatening complications.

C. Apply a cardiac monitor is correct. Hypokalemia (potassium level of 2.9 mEq/L) can cause significant cardiac arrhythmias, including ventricular tachycardia or fibrillation. Applying a cardiac monitor is essential for monitoring the client’s heart rhythm and detecting any abnormalities related to the low potassium level.

D. Monitor for Chvostek's sign is incorrect. Chvostek's sign is indicative of hypocalcemia, not hypokalemia. While both hypocalcemia and hypokalemia can cause neuromuscular excitability, monitoring for Chvostek’s sign is not a priority in the management of hypokalemia.

A. Nausea and vomiting B. Altered mental status C. Dysrhythmias D. Hypothermia

Correct Answer is B

Explanation

A. Nausea and vomiting: Nausea and vomiting can be present with hypernatremia (high sodium levels), but they are not the most prominent or specific symptom. The client may experience these symptoms, but they are usually accompanied by other signs.

B. Altered mental status: This is a common manifestation of hypernatremia. The elevated sodium level causes an osmotic imbalance, leading to water shifting out of cells, which results in neurological symptoms, including confusion, lethargy, or seizures.

C. Dysrhythmias: Dysrhythmias can occur with electrolyte imbalances, including hypernatremia, but the primary symptoms related to sodium levels are more often neurological in nature, such as confusion or altered mental status, rather than dysrhythmias specifically.

D. Hypothermia: Hypernatremia typically causes an increase in body temperature, not hypothermia. Elevated sodium levels cause dehydration, which could contribute to increased body temperature rather than cooling.

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A nurse is caring for a client who has just died. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a client who has a potassium level of 2.9 mEq/L. Which of the following actions should the nurse plan?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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