The nurse is providing postmortem care to a client who is on home hospice care and has just died. What action should the nurse take?
Apply clean gauze pads over the client's open eyes to prevent damage.
Place the dentures in a bag that is clearly marked with the client's name.
Remove the client's urinary catheter ensuring that the perineum is clean.
Secure the client's upper extremities by tying them together over the abdomen.
The Correct Answer is A
A. "Apply clean gauze pads over the client's open eyes to prevent damage." This is appropriate. Closing the client's eyes and placing gauze pads over them helps to prevent drying and damage, maintaining a respectful appearance of the deceased.
B. "Place the dentures in a bag that is clearly marked with the client's name." This is incorrect. While it is important to handle personal items with respect, this option is less relevant to postmortem care compared to the other options.
C. "Remove the client's urinary catheter ensuring that the perineum is clean." This is incorrect. If the client is on home hospice care and has just died, it is generally not necessary to remove the urinary catheter unless specifically required by the hospice protocols.
D. "Secure the client's upper extremities by tying them together over the abdomen." This is incorrect and inappropriate. Tying extremities is not a standard practice and does not align with respectful postmortem care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Referring to a cardiologist may be appropriate for treatment options, but it does not address the broader goals of palliative care focused on quality of life and symptom management.
B. Additional diagnostic tests focus on disease progression but do not address the supportive care needs that palliative care can provide.
C. Discussing palliative care with the patient and family aligns with the goal of improving quality of life and managing symptoms, which is central to palliative care services.
D. Medication adherence is important but does not encompass the comprehensive approach of palliative care, which includes symptom management and support.
Correct Answer is B
Explanation
A. Traditional medical care focuses on active treatment with the aim of curing or controlling the disease, which is not the goal of palliative care in this context.
B. Palliative care aims to prevent and relieve suffering and discomfort, focusing on improving the quality of life for clients with serious illnesses.
C. Bridging between curative and hospice care does not accurately describe the primary focus of palliative care, which is to manage symptoms and improve comfort.
D. Providing aggressive treatment is contrary to the principles of palliative care, which focuses on comfort and quality of life rather than pursuing further curative interventions.
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