A nurse is caring for a client who has just died following unsuccessful CPR. The family wishes to view the body. Which of the following actions should the nurse take before inviting the family into the room?

A. Offer a wet washcloth for the client to wash their face: Washing the face with a wet washcloth can promote relaxation and help signal to the body that it’s time to wind down. This calming routine can be soothing and may help improve the client’s ability to fall asleep.

B. Perform range-of-motion exercises: Doing range of motion exercises shortly before bedtime can be overstimulating. Physical activity close to bedtime may increase alertness and make it harder for the client to fall asleep.

C. Prepare hot cocoa or tea for the client: While warm drinks might seem comforting, caffeine in some teas or high sugar in hot cocoa can interfere with sleep. It’s important to avoid stimulants and opt for calming beverages, such as caffeine-free herbal teas, instead.

D. Provide a late supper: A large meal late at night can be disruptive to sleep as it may cause indigestion or discomfort. It’s better to encourage lighter, earlier meals to prevent any disturbances that could affect the client’s ability to fall asleep.

A. Warm skin: Warm skin typically indicates good circulation and is not a specific sign of active bleeding. Active bleeding is more likely to cause signs like cool or pale skin due to decreased perfusion.

B. Restlessness: Restlessness is a common sign of hypovolemia or decreased oxygen perfusion, both of which can be caused by active bleeding. It may indicate that the client is experiencing discomfort, anxiety, or shock due to blood loss.

C. Bounding pulses: Bounding pulses are typically associated with conditions like fever or increased blood volume, not bleeding. Active bleeding usually results in weak, thready pulses due to decreased blood volume.

D. Brisk capillary refill: A brisk capillary refill time (less than 2 seconds) is generally a sign of adequate circulation, not bleeding. In the case of active bleeding, capillary refill may be delayed due to reduced blood flow.