A nurse is providing postmortem care for a client. Identify the sequence of actions the nurse should follow. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Determine the family's preferences about care of the body.
Apply identifying name tags onto the client.
Verify that the provider has certified the client's death.
Remove all equipment and tubes from the client's body.
The Correct Answer is C,A,D,B
Verify that the provider has certified the client's death: Before any postmortem care is initiated, it's crucial to confirm that the client has indeed passed away. This verification is typically done by a healthcare provider, such as a physician or nurse practitioner, who examines the client, checks for signs of life, and makes an official declaration of death.
Determine the family's preferences about care of the body: After the client's death has been certified, the healthcare team should communicate with the family or next of kin to inquire about their preferences regarding the care of the deceased. Families may have specific cultural, religious, or personal requests regarding postmortem care procedures, and it's essential to respect and accommodate these preferences whenever possible.
Remove all equipment and tubes from the client's body: This step involves the removal of any medical equipment, devices, or tubes that may have been in use during the client's medical care. This can include items such as intravenous (IV) lines, catheters, ventilator tubing, and monitoring equipment. Ensuring that all equipment is removed is not only a matter of dignity but also helps prepare the body for viewing by the family, if desired.
Apply identifying name tags onto the client .To maintain accurate identification and tracking of the deceased client, it's common practice to attach identifying name tags or labels to the body. These tags typically contain essential information, such as the client's name, medical record number, and date of birth. This step helps prevent any confusion or mix-up of identities during postmortem procedures and transport.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason:
Positioning the knot of the rope at the top of the pulley is incorrect. The knot should be placed at the foot of the bed to ensure proper traction.
Choice B Reason:
Removing the weights for 20 minutes without a healthcare provider's order is not appropriate. If the client experiences severe pain, the nurse should assess the client, evaluate the traction system, and notify the healthcare provider if necessary.
Choice C Reason:
Applying 6.8 kg (15 lb) of weight for use in traction is not the standard practice. The amount of weight used in Buck's traction varies depending on the healthcare provider's orders and the client's specific condition. The nurse should follow the healthcare provider's orders regarding the amount of weight to apply.
Choice D Reason:
Compare bilateral pedal pulses. When caring for a client with Buck's traction, it is essential to regularly assess the circulation to the extremity in traction. Comparing bilateral pedal pulses helps the nurse determine if there are any circulation issues in the affected leg. If the client's circulation is compromised, it can lead to complications such as deep vein thrombosis (DVT) or compartment syndrome.
Correct Answer is A
Explanation
Choice A Reason:
"I would like to observe you using your glucometer. “To evaluate the client's use of a glucometer effectively, the nurse should ask the client to demonstrate how they use the device to check their blood glucose levels. This allows the nurse to directly observe the client's technique, including proper hand hygiene, fingerstick procedure, test strip insertion, and interpretation of results. It also provides an opportunity to correct any errors or misconceptions in real-time and ensure the client is using the glucometer correctly.
Choice B Reason:
"Show me what blood glucose supplies you have available." This question assesses the client's supply inventory but does not assess their actual use of the glucometer.
Choice C Reason:
"Let me demonstrate for you how to use this machine correctly." This option involves the nurse demonstrating the use of the glucometer to the client, which may be helpful as part of teaching but does not evaluate the client's current proficiency in using the device.
Choice D Reason:
"Tell me how long you have been using this glucometer." This question inquiries about the client's history of using the glucometer but does not assess their current competence in using it.
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