A nurse is preparing a client's body for a postmortem family viewing. Which of the following actions should the nurse take?

Ask the family if they want to participate in postmortem care

Lie the head of the client's bed flat

Place medical equipment to the side of the client's bed.

Remove the client's dentures to close their mouth

Answer and Explanation

The Correct Answer is A

A. Ask the family if they want to participate in postmortem care: Allowing the family to choose whether to participate respects their cultural, spiritual, and personal preferences. This promotes dignity for both the client and family and provides an opportunity for closure.

B. Let the head of the client's bed flat: The client’s head should typically be elevated slightly to prevent discoloration of the face and to maintain a natural appearance for viewing. Flat positioning can cause facial edema or pooling of blood, which may be distressing to the family.

C. Place medical equipment to the side of the client's bed: While removing or repositioning equipment can help create a more comfortable viewing environment, it is not the first or most essential step in preparing for postmortem care.

D. Remove the client's dentures to close their mouth: Dentures should usually be left in place to maintain the natural shape of the face unless instructed otherwise. Removing them can cause the mouth to appear sunken, which may be distressing to the family.

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Correct Answer is B

Explanation

A. “I can prevent constipation if I drink more milk while taking this medication.": Milk can actually decrease the absorption of iron and does not prevent constipation. Adequate hydration and dietary fiber are more effective strategies for managing iron-related constipation.

B. “I will mix the medication with a full glass of water.”: Ferrous sulfate elixir should be diluted in water or juice to improve taste, reduce gastrointestinal irritation, and enhance absorption. This statement reflects proper understanding of safe and effective administration.

C. “I will report black stools to my doctor": Black stools are a common, harmless side effect of iron supplementation and do not usually require reporting. Misunderstanding this can cause unnecessary concern if the client is aware that it is expected.

D. “I can prevent nausea if I take the medication on an empty stomach.”: Taking iron on an empty stomach may actually increase gastrointestinal irritation and nausea. It is often recommended to take iron with food if intolerance occurs, though absorption may be slightly reduced.

A. Deliver 2 L of oxygen via partial nonrebreather mask B. Give epinephrine intramuscularly C. Notify the radiology department. D. Administer diazepam PO.

Correct Answer is B

Explanation

A. Deliver 2 L of oxygen via partial nonrebreather mask: While supplemental oxygen may support oxygenation, it does not treat the underlying life-threatening allergic reaction. Oxygen alone is insufficient for anaphylaxis and should not delay definitive treatment.

B. Give epinephrine intramuscularly: Epinephrine is the first-line treatment for anaphylaxis and rapidly counteracts airway constriction, hypotension, and vascular permeability. Intramuscular administration in the mid-outer thigh provides rapid absorption and is essential to prevent respiratory compromise and shock.

C. Notify the radiology department: Notifying radiology is unrelated to the acute management of an allergic reaction. Immediate intervention to secure the airway and treat anaphylaxis takes priority over nonessential notifications.

D. Administer diazepam PO: Diazepam is an anxiolytic and has no role in managing anaphylaxis or airway obstruction. It does not reverse histamine-mediated effects and would delay critical emergency treatment.

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A nurse is preparing a client's body for a postmortem family viewing. Which of the following actions should the nurse take?

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