The nurse is caring for a patient who has just died. What is the priority action of the nurse?
Ask the family to leave the room so that post-mortem care can be provided.
Provide post-mortem care in a manner consistent with religious pr cultural beliefs.
Have the patient's family members sign consent forms for organ donation.
Remove all drainage tubes and IV lines in case an autopsy is to be performed.
The Correct Answer is B
A. Ask the family to leave the room so that post-mortem care can be provided: Families should be given the option to be present unless they decline or it conflicts with facility policy or religious/cultural norms.
B. Provide post-mortem care in a manner consistent with religious or cultural beliefs: Respecting the patient’s and family’s cultural/religious practices is essential in end-of-life care and is the priority.
C. Have the patient's family members sign consent forms for organ donation: Organ donation discussions are usually conducted by trained personnel or coordinators, not the bedside nurse.
D. Remove all drainage tubes and IV lines in case an autopsy is to be performed: Tubes and lines should not be removed if an autopsy is pending, as they may be required for the investigation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Maturational:
This is a normal life transition, such as children growing up and leaving home, that can still feel like a loss.
B. Situational:
Situational loss results from unexpected events, such as a job loss or illness, not normal developmental changes.
C. Perceived:
A perceived loss is defined by the individual and is not obvious to others, like loss of independence. This example is better categorized as maturational.
D. Conditional:
“Conditional loss” is not a recognized category in grief theory.
Correct Answer is A
Explanation
A. Caregiver role strain related to the amount and complexity of the patient's health needs
This diagnosis reflects the emotional, physical, and psychological burden experienced by caregivers.
B. Activity intolerance related to fatigue and generalized weakness
Not appropriate for the caregiver; applies more to a client with physical limitations.
C. Readiness for enhanced comfort related to change in personal health status
Indicates a client who is comfortable but seeking higher well-being—not applicable here.
D. Risk for compromised human dignity related to loss of control of bodily functions
More appropriate for a patient, not a caregiver.
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