A nurse is providing postmortem care for a client prior to the family viewing the body. Which of the following actions should the nurse take?
Raise the head of the client's bed to 30 degrees.
Cleanse the client's body while wearing sterile gloves
Remove the client's dentures and close their mouth
Apply surgical tape to the client's eyes
The Correct Answer is A
After a patient dies, postmortem care includes preparing them for family viewing. The nurse should place the body in the supine position, with the arms at the sides and the head on a pillow. Then elevate the head of the bed 30 degrees to prevent discoloration from blood settling in the face .
The other options are not correct because:
b) The nurse should cleanse the client's body while wearing appropriate personal protective equipment (PPE) based on indications for isolation precautions, not necessarily sterile gloves.
c) If the patient wore dentures and your facility’s policy permits, gently insert them; then close the mouth
d) The nurse should close the eyes by gently pressing on the lids with their fingertips. If they don’t stay closed, place moist coton balls on the eyelids for a few minutes, and then try again to close them. Surgical tape is not mentioned as necessary .
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Related Questions
Correct Answer is B
Explanation
B. The school-age sister views death as being a type of temporary sleep:
This response aligns with developmental stages. School-age children (around ages 5-9) often have a more concrete understanding of death but may still see it as reversible or temporary, such as a long sleep. This is a normal way children in this age group might conceptualize death before they fully understand its permanence. It's common for them to express the idea that the person who has died will wake up or return in some way, as their cognitive understanding is still developing.
Correct Answer is D
Explanation
Answer: D
Rationale:
A) "Wash your newborn's head under a stream of running water": Washing the newborn's head under a stream of running water is not safe due to the risk of startling the baby or causing discomfort. Instead, the head should be gently washed using a damp cloth or sponge.
B) "Bathe your newborn within 30 minutes after a feeding": Bathing a newborn within 30 minutes after feeding is not advisable as it may cause discomfort or spitting up due to the baby's full stomach. It is better to wait for some time after feeding before bathing the baby.
C) "Start the bath by washing the newborn's diaper area first": Starting the bath by washing the newborn's diaper area first is not recommended. The face and head should be washed first to avoid spreading bacteria from the diaper area to other parts of the body.
D) "The bath water should be 100 to 103 degrees Fahrenheit": This is the correct temperature range for a newborn's bath water. It is essential to ensure that the water is warm enough to be comfortable but not too hot, to avoid burns or discomfort. The temperature should be checked with a thermometer or the elbow to ensure it is safe for the baby.
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