A nurse is providing postmortem care for a client. Which of the following actions should the nurse take?
Remove the client's dentures.
Increase the lights in the client's room.
Place the head of the client's bed flat.
Wash the client's body.
The Correct Answer is D
The correct answer is D. Wash the client’s body. This is a standard part of postmortem care to ensure the body is clean and presentable for the family and any further procedures.
Choice A reason:
Remove the client’s dentures. This statement is incorrect because dentures should be left in place to maintain the shape of the face and ensure a natural appearance for viewing by the family.
Choice B reason:
Increase the lights in the client’s room. This statement is incorrect because dim lighting is often preferred to create a calm and respectful environment for the family.
Choice C reason:
Place the head of the client’s bed flat. This statement is incorrect because the head should be elevated to prevent discoloration and pooling of blood.
Choice D reason:
Wash the client’s body. This is correct as it is a standard part of postmortem care to ensure the body is clean and presentable for the family and any further procedures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason : Change in marital status.A change in marital status is considered a social stressor rather than a physiological one. It relates to the personal and emotional aspects of one's life, impacting mental and emotional well-being rather than directly causing a physiological response.
Choice B reason : Financial difficulties.Financial difficulties are categorized as social stressors. They can lead to significant stress but do not directly cause a physiological response. Instead, they can indirectly affect health over time through sustained stress.
Choice C reason : Academic pressure.Academic pressure is a psychological stressor. It involves cognitive and emotional challenges that can lead to stress but is not a direct physiological stressor.
Choice D reason : Burn injury.A burn injury is a physiological stressor. It causes an immediate physical response in the body, triggering pain receptors, inflammatory responses, and the need for physical healing processes.
Correct Answer is C
Explanation
Choice A reason : Increase in basal metabolic rate.During NREM sleep, particularly in the deeper stages, the basal metabolic rate (BMR) actually decreases. This reduction in BMR is part of the restorative processes that occur during sleep, conserving energy for the body to use in repair and growth.
Choice B reason : Reduced secretion of growth hormones.Contrary to this statement, the secretion of growth hormones increases during NREM sleep, particularly during the deep stages (stage N3). These hormones play a crucial role in tissue growth and muscle repair.
Choice C reason : Decrease in body temperature.During NREM sleep, there is a decrease in body temperature as part of the body's thermoregulation process. This helps to conserve energy and is a characteristic physiological change during this phase of sleep.
Choice D reason : Constriction of peripheral blood vessels.Peripheral blood vessels do not typically constrict during NREM sleep. Instead, there is generally a decrease in sympathetic nervous system activity, which can lead to the dilation of blood vessels and a decrease in blood pressure.
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