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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Medication: The medication, erythromycin, is appropriately prescribed. No clarification is needed regarding the medication.
B. Dosage: The prescribed dosage of 500 mg is a common dose for erythromycin, and there is no indication that it needs to be clarified.
C. Time: The prescription states that the medication is to be given four times per day, but the specific times (e.g., morning, noon, evening, bedtime. are not mentioned. The nurse should clarify the exact timing to ensure proper spacing of doses and avoid interactions.
D. Route: The route is typically oral for erythromycin, and there is no indication that clarification is needed.
Correct Answer is C
Explanation
A. Tinnitus is not typically associated with the ingestion of tyramine-rich foods while on tranylcypromine.
B. Hyperglycemia is not a common adverse effect related to tyramine interaction with tranylcypromine.
C. Hypertension is correct. Ingesting tyramine-rich foods (such as aged cheese, cured meats, and fermented foods) while taking tranylcypromine, a monoamine oxidase inhibitor (MAOI), can cause a hypertensive crisis. Tyramine is normally broken down by monoamine oxidase (MAO), and inhibiting this enzyme with tranylcypromine can lead to a dangerous increase in blood pressure.
D. Hematuria is not a known adverse effect of tranylcypromine or the ingestion of tyramine-rich foods.
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