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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The Perceived Power Model focuses on individual perceptions of power and influence but does not specifically address the comprehensive educational approach described in the question.
B. The Theory of Reasoned Action primarily deals with intention and behavior change but does not fully encompass the educational aspects of severity and impact described.
C. The Social Learning Model emphasizes learning through observation and interaction but is less focused on the specific health beliefs and preventive behaviors highlighted in the question.
D. The Health Belief Model is designed to address perceptions of health risks and benefits, which aligns with discussing the severity of the condition, the benefits of adherence, and the impact of uncontrolled disease, making it the most suitable framework for the nurse's educational approach.
Correct Answer is A
Explanation
A. The belief that accepting end-of-life care represents a medical failure can prevent individuals from seeking quality care, as it may lead to reluctance or denial of appropriate palliative and hospice care services.
B. Receiving unemployment insurance does not directly relate to the barriers of seeking end-of-life care; it pertains more to financial assistance rather than care quality issues.
C. Inability to provide appropriate home care is a logistical challenge but not necessarily a major barrier to seeking quality end-of-life care, as other options like hospice care can be utilized.
D. Distrust in the medical community can be a barrier to seeking care, but the statement about accepting end-of-life care as a failure more directly addresses a significant barrier to accessing appropriate care.
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