A nurse caring for the family of a client who recently died. Which of the following actions should the nurse take?

Instruct the family to leave prior to cleaning the client's body.

Encourage the family to express their feelings of loss.

Limit the amount of time the family spends in the client's room.

Ask the family not to touch the client's body.

Answer and Explanation

The Correct Answer is B

The correct answer is B. The nurse should encourage the family to express their feelings of loss and provide emotional support and comfort during this difficult time. The nurse should also respect their cultural and religious beliefs and practices regarding death and dying, and allow them to spend as much time as they need with their loved one's body, unless there are infection control issues or legal requirements that prevent it. The other options are incorrect because they are insensitive and disrespectful to the family's needs and wishes.

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Correct Answer is A

Explanation

The correct answer is A. The client should begin collecting urine after discarding the first morning void, which is not part of the 24-hr period. The client should avoid eating a protein-rich diet during the collection period, as this can affect the creatinine level. The client does not need to cleanse the perineal area with an antiseptic towel each time before voiding, as this is not necessary for a creatinine clearance test. The client does not need to record the blood glucose level each time they void, as this is not related to the creatinine clearance test.

A. Open the flap on the sterile kit nearest to the nurse and place the flap on the work surface. B. Open the side flap of the sterile kit, allowing it to lie flat on the work surface. C. Open the outermost flap of the sterile kit away from the nurse's body D. Apply sterile gloves.

Correct Answer is C

Explanation

The correct answer is C. Open the outermost flap of the sterile kit away from the nurse's body.

Rationale: The nurse should open the outermost flap of the sterile kit away from their body first, as this will prevent contamination of their clothing or hands by touching any part of

the inside surface or contents of the kit. The nurse should then open each side flap by grasping only its outer edge and pulling it toward them. The nurse should then open the flap nearest to them by grasping only its outer edge and pulling it toward them. The nurse should then apply sterile gloves before touching any part of the inside surface or contents of the kit.

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A nurse caring for the family of a client who recently died. Which of the following actions should the nurse take?

Nursing Test Bank

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