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

Answer and Explanation

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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Correct Answer is C

Explanation

The nurse should clarify the prescription for cefazolin with the provider. Cefazolin is a cephalosporin antibiotic, and there is a risk of cross-reactivity in individuals who have an allergy to penicillin.

a) Doxycycline and b) Vibramycin (which is another name for doxycycline) are tetracycline antibiotics and are not related to penicillin.

d) Gentamicin is an aminoglycoside antibiotic and is also not related to penicillin.

A. Consume more prepared frozen dinners to minimize cooking with salt. B. Add salt when preparing a meal instead of at the table. C. Use imitation crab and lobster products for salads at home. D. Replace bottled salad dressing with homemade vinegar and oil dressing.

Correct Answer is D

Explanation

A client with heart failure should limit their sodium intake. Bottled salad dressings can be high in sodium, so replacing them with homemade vinegar and oil dressing can help reduce sodium intake.

The other options are not recommended for a client with heart failure who needs to limit their sodium intake.

a) Prepared frozen dinners are often high in sodium.

b) Adding salt when preparing a meal would increase sodium intake.

c) Imitation crab and lobster products (option can also be high in sodium.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an adolescent who has an allergy to penicillin. Which of the following prescriptions should the nurse clarify with the provider?

Correct Answer is C

Explanation

A nurse is caring for a client who has heart failure and reports difficulty with limiting sodium in their diet. Which of the following recommendations should the nurse provide?

Correct Answer is D

Explanation

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