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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Incorrect. The contraceptive effect of a combination contraceptive transdermal patch does not continue for 6 months following discontinuation. Fertility typically returns soon after stopping the patch.
B. Correct. When starting a combination contraceptive transdermal patch, it is usually recommended to apply the first patch on the first day of the menstrual cycle or on the Sunday after the menstrual cycle starts. If applying it on the Sunday, the client should start on the seventh day of the menstrual cycle.
C. Incorrect. The patch should be applied to clean, dry, intact skin on the buttocks, abdomen, upper outer arm, or upper torso, but not specifically to the lower abdomen.
D. Incorrect. While headaches are a possible side effect of combination contraceptive methods, they are not universally experienced by all users, and they may occur at any point during use, not just during the first month.
Correct Answer is B
Explanation
- Choice A Rationale: The epidural PCA (patient-controlled analgesia) is designed with safety mechanisms to ensure that the patient cannot administer a dose that exceeds the prescribed safe limit. This is crucial to prevent potential overdose and complications associated with high doses of analgesics.
- Choice B Rationale: While it is true that some patients may experience reduced mobility in their legs during epidural analgesia, this is not an absolute and can vary based on the dosage and individual response. Therefore, it is not a guaranteed effect and should not be presented as such.
- Choice C Rationale: There is no conclusive evidence to suggest that epidural pain control methods shorten the second stage of labor. In fact, some studies indicate that it may actually prolong it. The primary purpose of epidural PCA is pain management, not altering the labor process timeline.
- Choice D Rationale: Postpartum headaches can be a side effect of epidural anesthesia, but they are not common to all cases. It is associated with a complication known as a post-dural puncture headache, which occurs in a minority of cases. Hence, it should not be stated as a common outcome.
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