A nurse is providing postmortem care for a client. Identify the sequence of actions the nurse should follow. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Determine the family's preferences about care of the body.

Apply identifying name tags onto the client.

Verify that the provider has certified the client's death.

Remove all equipment and tubes from the client's body.

Answer and Explanation

The Correct Answer is C,A,D,B

Verify that the provider has certified the client's death: Before any postmortem care is initiated, it's crucial to confirm that the client has indeed passed away. This verification is typically done by a healthcare provider, such as a physician or nurse practitioner, who examines the client, checks for signs of life, and makes an official declaration of death.

Determine the family's preferences about care of the body: After the client's death has been certified, the healthcare team should communicate with the family or next of kin to inquire about their preferences regarding the care of the deceased. Families may have specific cultural, religious, or personal requests regarding postmortem care procedures, and it's essential to respect and accommodate these preferences whenever possible.

Remove all equipment and tubes from the client's body: This step involves the removal of any medical equipment, devices, or tubes that may have been in use during the client's medical care. This can include items such as intravenous (IV) lines, catheters, ventilator tubing, and monitoring equipment. Ensuring that all equipment is removed is not only a matter of dignity but also helps prepare the body for viewing by the family, if desired.

Apply identifying name tags onto the client .To maintain accurate identification and tracking of the deceased client, it's common practice to attach identifying name tags or labels to the body. These tags typically contain essential information, such as the client's name, medical record number, and date of birth. This step helps prevent any confusion or mix-up of identities during postmortem procedures and transport.

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Correct Answer is D

Explanation

Encouraging the client to be assertive is an important aspect of managing dependent personality disorder. It helps the client develop self-confidence, make independent decisions, and advocate for their own needs.

Empowering the client to express their opinions and assert their boundaries can contribute to their personal growth and reduce their reliance on others.

A. Open the outermost flap of the sterile kit away from the nurse's body. B. Open the flap on the sterile kit nearest to the nurse and place the flap on the work surface. C. Open the side flap of the sterile kit, allowing it to lie flat on the work surface. D. Apply sterile gloves.

Correct Answer is A

Explanation

Correct answer: A

a.This step is crucial because it helps maintain the sterility of the kit by ensuring that the nurse does not accidentally contaminate the sterile field with their body or clothing.This step ensures that the nurse's hands and arms do not cross over the sterile field, reducing the risk of contamination.

b.Opening the flap nearest to the nurse first can lead to contamination because the nurse's hands and arms might cross over the sterile field while opening the remaining flaps. This increases the risk of introducing pathogens into the sterile area, compromising the sterility required for the procedure.

c.Opening a side flap first can also compromise the sterility of the field. Similar to option (b), this action might result in the nurse's hands or arms moving over the sterile area, risking contamination.

d.Applying sterile gloves is an essential step in maintaining sterility, but it is not the first step. The nurse needs to prepare the sterile field before donning sterile gloves to ensure that the gloves themselves remain uncontaminated. If the nurse were to put on sterile gloves first, there is a risk of contaminating the gloves while opening the sterile kit, thereby defeating the purpose of using sterile gloves.

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A nurse is providing postmortem care for a client. Identify the sequence of actions the nurse should follow. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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Correct Answer is A

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