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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice B rationale:
Prothrombin time. Monitoring prothrombin time is not typically required for clients taking levothyroxine. Prothrombin time is a measure of blood clotting and is not directly affected by thyroid hormone replacement therapy.
Choice C rationale:
Blood urea nitrogen. Monitoring blood urea nitrogen is not specifically related to levothyroxine therapy. Blood urea nitrogen is a measure of kidney function and is not typically affected by thyroid hormone replacement.
Choice D rationale:
Serum potassium. Monitoring serum potassium levels is important for some medications, but it is not a primary concern when a client is taking levothyroxine. Levothyroxine is primarily used to replace or supplement thyroid hormones, and its main focus is on thyroid function.
Choice A rationale:
Triiodothyronine. Triiodothyronine (T3) is one of the thyroid hormones, and monitoring its levels is essential when a client is taking levothyroxine. Levothyroxine is a synthetic form of thyroxine (T4), which the body converts into triiodothyronine (T3) Monitoring T3 levels helps ensure that the client's thyroid hormone replacement therapy is effective and that they are not experiencing over- or under-dosage.
Correct Answer is D
Explanation
Choice A rationale:
Referring the client to a nutritionist is not the most appropriate action in this situation. While nutritionists can provide valuable information on infant feeding, the client's primary concern is the inability to afford baby formula. A case manager is better suited to address the client's financial and social needs.
Choice B rationale:
Referring the client to the primary care provider is not the most appropriate action in this situation. The primary care provider may not have the resources or expertise to address the client's financial and social concerns.
Choice C rationale:
Referring the client to a pediatric nurse practitioner is not the most appropriate action in this situation. While pediatric nurse practitioners can provide healthcare for infants, they may not have the resources to address the client's financial constraints.
Choice D rationale:
Referring the client to a case manager is the most appropriate action in this scenario. A case manager can assess the client's financial situation and connect them with appropriate resources, such as government assistance programs or local charities, to help cover the cost of baby formula. Case managers specialize in coordinating care and addressing social determinants of health.
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