A nurse in an acute care center is caring for a client who just died. The client’s family requests to perform the postmortem care. Which of the following is an appropriate response for the nurse to make?

“You will have to sign a release form to perform the care yourself.”

“A licensed health care worker must perform postmortem care.”.

“I will assist you in any way I can during this process.”.

“This care takes place after the client leaves the facility.”.

Answer and Explanation

The Correct Answer is C

The correct answer is choice C. “I will assist you in any way I can during this process.” This response shows sensitivity and respect for the client’s family and their cultural or religious beliefs. Postmortem care involves caring for a deceased patient’s body with dignity and in a manner that is consistent with the patient’s and family’s wishes.The nurse should offer to assist the family in performing the postmortem care if they request to do so.

Choice A is wrong because the family does not need to sign a release form to perform the postmortem care themselves.

There is no legal requirement for this.

Choice B is wrong because a licensed health care worker does not have to perform postmortem care.

The family can perform the care themselves if they wish, with or without the assistance of a health care worker.

Choice D is wrong because postmortem care takes place before the client leaves the facility, not after.

Postmortem care should be provided as soon as possible to prevent tissue damage or disfigurement.

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Correct Answer is D

Explanation

The correct answer is D. Using two gloved fingers to open the client’s mouth for cleaning.

Choice A rationale:

Lowering the side rail on the side of the bed where the AP will stand is necessary for safe access to the client. However, the AP should ensure the opposite side rail is up to prevent the client from falling.

Choice B rationale:

Using an oral care sponge swab moistened with cool water is an appropriate method for cleaning the mouth of an unconscious client. It helps maintain oral hygiene and comfort.

Choice C rationale:

Wearing clean gloves is essential for infection control and is a standard practice when performing mouth care to protect both the client and the caregiver.

Choice D rationale:

Using two gloved fingers to open the client’s mouth is not recommended as it can cause injury to the caregiver if the client bites down reflexively. Instead, a padded tongue blade should be used to gently open the mouth.

A. Hypermagnesemia. B. Hyponatremia. C. Hypocalcemia. D. D. Hyperkalemia.

Correct Answer is B

Explanation

This means low sodium levels in the blood.

Sodium is an electrolyte that helps regulate fluid balance and nerve and muscle function.

Vomiting and diarrhea can cause dehydration and loss of sodium through fluids.

Normal sodium levels are between 135 to 145 millimole/Liter.

Choice A is wrong because hypermagnesemia means high magnesium levels in the blood.

Magnesium is another electrolyte that helps with nerve and muscle function, as well as blood pressure and blood sugar regulation.

Hypermagnesemia is rare and usually caused by kidney failure or excessive use of magnesium supplements or laxatives.

Normal magnesium levels are between 1.46 to 2.68 milligram/deciliter.

Choice C is wrong because hypocalcemia means low calcium levels in the blood.

Calcium is an electrolyte that helps with bone health, muscle contraction, blood clotting and nerve signaling.

Hypocalcemia can be caused by vitamin D deficiency, kidney disease, thyroid problems or certain medications.

Normal calcium levels are between 8.8 to 10.7 milligram/deciliter.

Choice D is wrong because hyperkalemia means high potassium levels in the blood.

Potassium is an electrolyte that helps with nerve and muscle function, especially the heart.

Hyperkalemia can be caused by kidney disease, diabetes, adrenal gland disorders or certain medications.

Normal potassium levels are between 3.6 to 5.5 millimole/Liter.

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A nurse in an acute care center is caring for a client who just died. The client’s family requests to perform the postmortem care. Which of the following is an appropriate response for the nurse to make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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