A nurse is completing postmortem documentation for a client. Which of the following information should the nurse include in the documentation?
Cause of the client's death
Last set of the client's vital signs
Copy of the client's advance directives
Location of the identification tag on the client's body
The Correct Answer is D
A. Incorrect. The cause of death is an important piece of information but is typically included in the official death certificate rather than in routine postmortem documentation.
B. Incorrect. While vital signs are important during the client's care, the last set of vital signs is not usually a primary focus of postmortem documentation.
C. Incorrect. Advance directives are relevant to the client's care during life but are not typically included in postmortem documentation.
D. Correct. Documentation of the location of the identification tag on the client's body is important for accurate identification and tracking during the postmortem process.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Incorrect. Justice refers to fairness and equal treatment for all clients. It is not demonstrated in this scenario.
B. Correct. Fidelity, also known as "faithfulness" or "loyalty," refers to the nurse's commitment to keeping promises and maintaining trust with the client. By walking with the client as promised, the nurse is demonstrating fidelity.
C. Incorrect. Autonomy refers to the client's right to make decisions about their own care and treatment. While the nurse is respecting the client's autonomy by addressing their anxiety, the ethical principle being demonstrated here is fidelity.
D. Incorrect. Nonmaleficence refers to the duty to do no harm. While the nurse is indeed trying to prevent harm (anxiety. for the client, the ethical principle being demonstrated in this scenario is fidelity.
Correct Answer is A
Explanation
The correct answer is choice a. Wear shoes with rubber soles.
Choice A rationale:
Wear shoes with rubber soles () - Quiet footwear minimizes noise disruption during sleep hours, promoting a better sleep environment.
Choice B rationale:
Conduct change of shift reports near the clients’ rooms () - Conducting reports near rooms creates noise and disrupts sleep. It’s best done in designated areas away from patients.
Choice C rationale:
Open curtains between clients in semi-private rooms () - Privacy and individual light control are crucial for sleep. Open curtains can disrupt a client’s sleep cycle.
Choice D rationale:
Turn on overhead lights briefly when checking IV lines () - Bright lights suppress melatonin production, a hormone vital for sleep. Using alternative light sources or dimmed lighting minimizes sleep disruption.
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