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 B
Explanation
A. Macrocultural influences refer to broad cultural and societal contexts, such as policies and cultural norms, rather than individual characteristics.
B. Microsystem influences include immediate environments and relationships affecting an individual, such as marital status, education level, and personal attitudes.
C. Exosystem influences involve broader social systems that indirectly affect the individual, like community resources or workplace policies.
D. Ontogenetic influences focus on personal development and biological factors rather than societal characteristics like education and beliefs.
Correct Answer is ["A","C","D"]
Explanation
A. Music therapy is known to provide comfort and relaxation, making it a suitable complementary therapy in hospice care.
B. Ibuprofen is a medication for pain and inflammation but is not classified as a complementary therapy.
C. Guided imagery can help manage pain and anxiety, providing comfort in a hospice setting.
D. Massage can help alleviate discomfort and promote relaxation, making it beneficial in hospice care.
E. Acetaminophen is a medication for pain relief but is not a complementary therapy.
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