A nurse is performing postmortem care on a client. Which of the following actions should the nurse take?

Tape the eyelids closed.

Remove dentures and place in a labeled container.

Cover body with a clean sheet.

Lower the head of the bed to a supine position.

Answer and Explanation

The Correct Answer is C

Choice A reason: Taping the eyelids closed is not appropriate. The nurse should gently close the eyelids manually, but taping can cause damage to the skin and is not part of standard postmortem care. This option is incorrect.

Choice B reason: Dentures should remain in the mouth if possible to maintain facial structure and appearance for viewing by family. Removing them is not standard unless specifically requested. This option is incorrect.

Choice C reason: Covering the body with a clean sheet is appropriate and respectful. It maintains dignity, prepares the body for viewing, and aligns with standard postmortem care practices. This is the correct answer.

Choice D reason: Lowering the head of the bed to a supine position is not recommended. The head of the bed should remain elevated slightly to prevent discoloration and pooling of blood in the face. Therefore, this option is incorrect.

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Correct Answer is B

Explanation

Choice A reason: Bleeding during peritoneal dialysis may cause the dialysate to appear pink or red, but it does not cause cloudiness. Therefore, this option is incorrect.

Choice B reason: Cloudy dialysate outflow is a classic sign of peritonitis, which is the most common and serious complication of peritoneal dialysis. Peritonitis occurs due to infection within the peritoneal cavity, often introduced during catheter handling. The cloudiness is caused by the presence of white blood cells and bacteria in the dialysate. This makes option B the correct answer.

Choice C reason: Poor dialysate flow is usually due to mechanical issues such as catheter malposition, constipation, or obstruction. It results in reduced or absent drainage but does not cause cloudiness. Thus, this option is incorrect.

Choice D reason: Fibrin clot formation can obstruct the catheter and reduce dialysate flow, but it does not cause the effluent to appear cloudy. Instead, fibrin strands may be visible in the fluid. This option is incorrect because it does not explain the cloudy appearance.

A. The electrical cord is taped to the floor. B. The electrical plug has two prongs. C. The IV pump is plugged into an unused outlet. D. The IV pump has a free-flow protective device.

Correct Answer is B

Explanation

Choice A reason: Taping the cord to the floor is not ideal, but it is not an immediate safety hazard if done to prevent tripping. It should be monitored, but it does not require tagging the pump.

Choice B reason: An electrical plug with only two prongs is unsafe because medical equipment requires a three-prong grounded plug to reduce the risk of electrical shock. This is a clear safety hazard and must be reported, making it the correct answer.

Choice C reason: Plugging the pump into an unused outlet is appropriate and safe. It ensures the device has a dedicated power source.

Choice D reason: Having a free-flow protective device is a safety feature, not a hazard. It prevents accidental infusion of large amounts of fluid when the tubing is disconnected from the pump.

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A nurse is performing postmortem care on a client. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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