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 D
Explanation
Rationale:
A. Small, raised vesicles over the body may indicate an allergic reaction but are not typically associated with IV antibiotics.
B. Rhinitis may indicate an allergic reaction but is not typically associated with IV antibiotics.
C. Itching of the skin may indicate an allergic reaction but is not typically associated with IV antibiotics.
D. Severe wheezing may indicate an allergic reaction or anaphylaxis and should be reported immediately.
Correct Answer is D
Explanation
Rationale:
A. Bowling is a low-impact activity that may not provide the weight-bearing exercise needed to help prevent osteoporosis.
B. Jogging is a high-impact activity that may not be appropriate for an older adult at risk for osteoporosis due to the potential for joint and bone stress.
C. Passive range-of-motion exercises are not weight-bearing and may not provide the same benefits as weight-bearing exercise.
D. Walking is a weight-bearing exercise that can help to increase bone density and reduce the risk of osteoporosis.
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