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

Remove the client's dentures.

Increase the lights in the client's room.

Place the head of the client's bed flat.

Wash the client's body.

Answer and Explanation

The Correct Answer is D

The correct answer is D. Wash the client’s body. This is a standard part of postmortem care to ensure the body is clean and presentable for the family and any further procedures.

Choice A reason:

Remove the client’s dentures. This statement is incorrect because dentures should be left in place to maintain the shape of the face and ensure a natural appearance for viewing by the family.

Choice B reason:

Increase the lights in the client’s room. This statement is incorrect because dim lighting is often preferred to create a calm and respectful environment for the family.

Choice C reason:

Place the head of the client’s bed flat. This statement is incorrect because the head should be elevated to prevent discoloration and pooling of blood.

Choice D reason:

Wash the client’s body. This is correct as it is a standard part of postmortem care to ensure the body is clean and presentable for the family and any further procedures.

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Correct Answer is A

Explanation

Choice A reason : Dry mouth, also known as xerostomia, is a common side effect of diphenhydramine, an antihistamine used to treat insomnia among other conditions. It occurs because diphenhydramine has anticholinergic properties, which means it inhibits the action of the neurotransmitter acetylcholine. This inhibition can reduce saliva production, leading to a feeling of dryness in the mouth.

Choice B reason : Hypertension, or high blood pressure, is not a typical side effect of diphenhydramine. While some medications, particularly decongestants, can raise blood pressure, diphenhydramine does not usually have this effect. However, individuals with pre-existing heart conditions should consult a healthcare provider before using it.

Choice C reason : Memory loss is not commonly listed as a side effect of diphenhydramine. However, because it can cause drowsiness and has sedative effects, it may lead to temporary forgetfulness or confusion, especially in older adults or when taken in higher doses.

Choice D reason : 'Medications' is not an adverse reaction but rather a general term for drugs used to diagnose, treat, or prevent illness. In the context of diphenhydramine, it would be more appropriate to discuss specific side effects or adverse reactions related to its use.

A. Have an eye exam every 2 years B. It is caused by an increase in intraocular pressure. C. Clouding of the lens is a manifestation of diabetic retinopathy. D. "Seeing spots is a manifestation of diabetic retinopathy."

Correct Answer is D

Explanation

Choice A reason : Have an eye exam every 2 years.For individuals with diabetes, it is recommended to have an eye exam annually, not every two years, due to the high risk of developing diabetic retinopathy and the need for early detection and treatment.

Choice B reason : It is caused by an increase in intraocular pressure.Diabetic retinopathy is not caused by an increase in intraocular pressure; that is more characteristic of glaucoma. Diabetic retinopathy is caused by damage to the blood vessels in the retina due to high blood sugar levels.

Choice C reason : Clouding of the lens is a manifestation of diabetic retinopathy.Clouding of the lens is a manifestation of cataracts, not diabetic retinopathy. Diabetic retinopathy involves changes to the blood vessels in the retina, not the lens of the eye.

Choice D reason : "Seeing spots is a manifestation of diabetic retinopathy.""Seeing spots," or floaters, can indeed be a manifestation of diabetic retinopathy. This occurs when blood vessels in the retina are damaged and leak blood or other fluids, causing these spots to appear in the vision.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with teaching a client about over-the-counter medications used to treat insomnia. The nurse should include that which of the following is an adverse reaction of diphenhydramine?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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