A nurse is visiting with the family of a client who has just died. Which of the following actions should the nurse take to promote comfort for the family?

Allow the family as much time as they want with the client.

Use paper tape to hold the client's eyelids open.

Place the client in a supine position.

Avoid repeating information about the client's death.

Answer and Explanation

The Correct Answer is A

A. Allowing the family as much time as they want with the client is essential for them to process their emotions, say goodbye, and find closure. This respects their grieving process and allows
them to spend precious moments with their loved one.

B.   Using paper tape to hold the client's eyelids open is not appropriate and may cause discomfort or distress to the family.

C.   Placing the client in a supine position is unnecessary after death and may not contribute to the family's comfort.
D.   Avoiding repeating information about the client's death is not advisable. The nurse should be available to provide clarification, answer questions, and offer support as needed.

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Correct Answer is A

Explanation

A. The client who has heart failure and is incontinent of urine requires immediate attention as urinary incontinence can be indicative of fluid overload, a common complication in heart failure. Prompt assessment and intervention are necessary to prevent worsening of the client's condition.
B. Agitation in a client with COPD and dementia, while concerning, may not require immediate intervention unless it poses a risk to the client or others. It should be addressed as soon as possible, but it may not be the priority over the client with acute urinary incontinence.
C. Pain with ambulation in a client who had a hip arthroplasty 10 days ago is significant and requires attention, but it is not as urgent as addressing a potential fluid overload situation in the client with heart failure.
D. Constipation in a client who had a cerebrovascular accident 6 months ago is a chronic issue that may not require immediate intervention unless it is causing distress or complications.

A. Hgb 12 g/dL B. Platelet count 90,000/mm3 C. Hematocrit 37% D. Creatinine 0.7 mg/dL

Correct Answer is B

Explanation

A. Hemoglobin (Hgb) of 12 g/dL is within the normal range for a pregnant individual and does not typically require notification of the provider.
B. Platelet count of 90,000/mm3 is below the normal range (typically 150,000 to 400,000/mm3) and may indicate thrombocytopenia, which can be associated with conditions such as preeclampsia or HELLP syndrome. The nurse should notify the provider about this result.
C. Hematocrit of 37% is within the normal range for a pregnant individual and does not typically require notification of the provider.
D. Creatinine level of 0.7 mg/dL is within the normal range and does not typically require notification of the provider.

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A nurse is visiting with the family of a client who has just died. Which of the following actions should the nurse take to promote comfort for the family?

Nursing Test Bank

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