A nurse is observing an assistive personnel (AP) provide postmortem care for a client prior to visitation by their loved ones. Which of the following actions by the AP requires intervention by the nurse?
Washing the client's face
Gathering the client's personal belongings
Closing the client's eyes
Removing the client's dentures from their mouth
The Correct Answer is D
Rationale:
A. Washing the client's face is part of postmortem care and is appropriate.
B. Gathering the client's personal belongings is part of postmortem care and is appropriate.
C. Closing the client's eyes is part of postmortem care and is appropriate.
D. Removing the client's dentures from their mouth is not part of postmortem care and may be distressing for the family. The nurse should intervene and ensure the dentures are left in place.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. A stoma that protrudes slightly from the abdomen is normal after colostomy surgery.
B. A stoma that appears dark in color may indicate compromised blood flow and should be reported to the provider.
C. A stoma that bleeds lightly when touched is normal after colostomy surgery.
D. A stoma that is draining a small amount of liquid stool is normal after colostomy surgery.
Correct Answer is C
Explanation
Rationale:
A. Rapid chewing is not a manifestation of dysphagia.
B. Increased hunger is not a manifestation of dysphagia.
C. A garbled voice can be a manifestation of dysphagia, as it may indicate difficulty swallowing or speaking.
D. Sneezing is not a manifestation of dysphagia.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.