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

Remove the client's dentures to close their mouth.

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

Lie on the head of the client's bed flat.

Ask the family if they want to participate in postmortem care.

Answer and Explanation

The Correct Answer is D

Answer is d. Ask the family if they want to participate in postmortem care.

a. Remove the client's dentures to close their mouth: This option is incorrect because removing the client's dentures may not be necessary and can alter the client's appearance, causing unnecessary distress to the family during the viewing. Dentures should generally be left in place to maintain the natural shape of the client's face and preserve their appearance as closely as possible. However, if the family expresses a preference for removing the dentures or if it is medically necessary, the nurse should discuss this option with them and follow facility protocols accordingly.

b. Place medical equipment to the side of the client's bed: While it is essential to create a serene and comfortable environment for the family during the viewing, simply placing medical equipment to the side of the client's bed may not be sufficient. Medical equipment should be removed from the room entirely to minimize distractions and create a more peaceful atmosphere for the family. This ensures that the focus remains on the client and their loved ones during this sensitive time.

c. Lie on the head of the client's bed flat: This option is incorrect because lying the head of the client's bed flat is not appropriate for postmortem care. Elevating the head of the bed is essential to prevent blood pooling and discoloration of the client's face and neck, which can occur when the body is in a supine position for an extended period. Maintaining proper positioning also helps preserve the dignity and appearance of the deceased individual during the family viewing. Therefore, the nurse should ensure that the bed is appropriately positioned based on facility protocols and the client's condition.

d. Ask the family if they want to participate in postmortem care: Correct. Involving the family in postmortem care can be an important part of the grieving process and is considered a respectful practice if they wish to participate. By asking the family for their preferences and offering them the opportunity to participate in caring for their loved one, the nurse demonstrates sensitivity and respect for their cultural and personal beliefs. This approach allows the family to be actively involved in the final moments of their loved one's care and helps facilitate closure and acceptance during the grieving process.

In summary, the correct answer is d because asking the family if they want to participate in postmortem care ensures that their preferences and cultural beliefs are respected and accommodated during the family viewing. This approach fosters a supportive and dignified environment for the family as they say goodbye to their loved one.

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Correct Answer is C

Explanation

Choice A rationale:

The nurse should inform the client that they will need periodic TB skin tests to monitor for any reactivation of the infection. This is important for assessing the client's response to treatment and ensuring early detection of any recurrence.

Choice B rationale:

Medications for tuberculosis can cause various side effects, but turning urine a blue-green color is not a common side effect associated with these medications. Providing accurate information about potential side effects is important for informed decision-making, but this statement is not accurate.

Choice C rationale:

The correct response is to inform the client that they are no longer contagious when they have negative sputum cultures. This is an important point to emphasize as it ensures that the client understands when it is safe to be around others without the risk of transmitting the infection.

Choice D rationale:

Telling the client that they will take medication for the rest of their life is incorrect and not appropriate for active pulmonary tuberculosis. Tuberculosis treatment typically involves a combination of medications taken for a specified duration, usually several months, until the infection is effectively treated.

A. "I will carry my baby to the nursery.” B. "I can take my baby to the lobby to visit family.” C. "I will have an identification band that matches the one my baby wears.” D. "I can remove my security band to give it to a family member.”

Correct Answer is C

Explanation

Choice A rationale:

Carrying the baby to the nursery may not align with facility security measures. Typically, hospitals have strict protocols for baby transport within the facility, including the use of identification bands.

Choice B rationale:

Taking the baby to the lobby to visit family may also not be in line with security measures. Visitors should typically come to the designated patient areas rather than taking the baby to the lobby.

Choice C rationale:

Having an identification band that matches the one the baby wears is the correct understanding of facility security measures. This ensures proper identification of the baby and helps prevent infant abduction or mix-ups.

Choice D rationale:

Removing the security band to give it to a family member is not in line with security measures. The baby's identification band should remain intact at all times to ensure proper identification and security.

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