A nurse is preparing a client's body for a postmortem family viewing. Which of the following actions should the nurse take?
Ask the family if they want to participate in postmortem care
Lie the head of the client's bed flat
Place medical equipment to the side of the client's bed.
Remove the client's dentures to close their mouth
The Correct Answer is A
A. Ask the family if they want to participate in postmortem care: Allowing the family to choose whether to participate respects their cultural, spiritual, and personal preferences. This promotes dignity for both the client and family and provides an opportunity for closure.
B. Let the head of the client's bed flat: The client’s head should typically be elevated slightly to prevent discoloration of the face and to maintain a natural appearance for viewing. Flat positioning can cause facial edema or pooling of blood, which may be distressing to the family.
C. Place medical equipment to the side of the client's bed: While removing or repositioning equipment can help create a more comfortable viewing environment, it is not the first or most essential step in preparing for postmortem care.
D. Remove the client's dentures to close their mouth: Dentures should usually be left in place to maintain the natural shape of the face unless instructed otherwise. Removing them can cause the mouth to appear sunken, which may be distressing to the family.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Negative varicella titer: A negative varicella titer indicates the client is susceptible to chickenpox. While vaccination is recommended postpartum, this finding does not require urgent intervention during pregnancy because live vaccines cannot be given while pregnant.
B. Rubella titer nonimmune: A nonimmune rubella titer identifies susceptibility to rubella. Vaccination is provided postpartum, not during pregnancy, so immediate follow-up during the current pregnancy is not required.
C. Positive Rh factor: A positive Rh factor indicates the client is Rh-positive, which poses no risk for hemolytic disease of the newborn. No immediate intervention is required; routine monitoring continues.
D. Positive serologic test for syphilis: A positive syphilis test requires prompt follow-up because untreated maternal syphilis can cause miscarriage, stillbirth, or congenital infection. Early treatment with antibiotics during pregnancy is critical to prevent complications for both mother and fetus.
Correct Answer is C
Explanation
A. pH 7.48, PaCO₂ 32 mm Hg, HCO₃ 24 mEq/L: The elevated pH indicates alkalosis, but HCO₃ is within normal limits. This pattern suggests respiratory alkalosis with compensatory changes rather than metabolic alkalosis.
B. pH 7.36, PaCO₂ 38 mm Hg, HCO₃ 25 mEq/L: These values are within normal limits, indicating acid-base balance. They do not reflect metabolic alkalosis and would not explain clinical signs of alkalemia.
C. pH 7.46, PaCO₂ 36 mm Hg, HCO₃ 29 mEq/L: The elevated pH indicates alkalosis, and the increased HCO₃ identifies a metabolic origin. The PaCO₂ is near normal, suggesting minimal respiratory compensation, which is consistent with metabolic alkalosis.
D. pH 7.26, PaCO₂ 35 mm Hg, HCO₃ 18 mEq/L: The low pH and low HCO₃ indicate metabolic acidosis, not alkalosis. These values are inconsistent with the expected findings for metabolic alkalosis.
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