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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason:
Explaining the procedure's purpose is incorrect. While explaining the procedure's purpose is essential, it should not be done as a sole response if the client has expressed a lack of understanding. The client's concerns and questions need to be addressed first.
Choice B Reason:
Reminding the client about the specifics of the procedure is incorrect. This choice assumes that the client is aware of the specifics but has forgotten them. If the client has already stated that they don't understand why the procedure is necessary, simply reminding them of the details may not address their concerns adequately.
Choice C is Reason:
Asking the client to sign the consent form anyway is incorrect. This option is not appropriate because it would violate the principle of informed consent. Informed consent requires that the client fully understands the procedure, its purpose, potential risks, and alternatives before signing the form. If the client doesn't understand, signing the form would not be informed consent.
Choice D Reason:
Notifying the charge nurse about the situation is correct. When a client expresses a lack of understanding or confusion about a medical procedure, it is essential to ensure that the client fully comprehends the procedure, its purpose, potential risks, and alternatives. The nurse should not proceed with obtaining informed consent if the client does not understand. Instead, the charge nurse or another healthcare provider should be notified to address the client's concerns and provide further clarification. It's crucial to prioritize the client's right to make an informed decision regarding their healthcare.
Correct Answer is B
Explanation
Choice A Reason:
Keeping legs in a dependent position (hanging down) is generally not recommended after vein stripping surgery, as it can increase swelling. Elevation of the leg is often recommended to reduce swelling and improve blood flow.
Choice B Reason:
Wrapping the leg with an elastic bandage is correct. When providing discharge teaching to a client who has undergone vein stripping of the right leg, the nurse should include instructions for post-operative care. Wrapping the leg with an elastic bandage is a common practice to help reduce swelling, provide support to the leg, and promote healing. Proper application of the bandage helps with compression and prevents complications like hematoma formation.
Choice C Reason:
Maintaining bed rest for 48 hours is not typically required after vein stripping surgery. Early ambulation and movement are encouraged to prevent blood clots and promote healing.
Choice D Reason:
Implementing a sodium-restricted diet is not directly related to post-operative care for vein stripping surgery. Dietary restrictions should be discussed with a healthcare provider, but they are not a routine part of post-operative instructions for this procedure.
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.