A nurse is visiting with the family of a client who has just died. Which of the following actions should the nurse take to promote comfort for the family?
Allow the family as much time as they want with the client.
Use paper tape to hold the client's eyelids open.
Place the client in a supine position.
Avoid repeating information about the client's death.
The Correct Answer is A
A. Allowing the family as much time as they want with the client is essential for them to process their emotions, say goodbye, and find closure. This respects their grieving process and allows
them to spend precious moments with their loved one.
B. Using paper tape to hold the client's eyelids open is not appropriate and may cause discomfort or distress to the family.
C. Placing the client in a supine position is unnecessary after death and may not contribute to the family's comfort.
D. Avoiding repeating information about the client's death is not advisable. The nurse should be available to provide clarification, answer questions, and offer support as needed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Turn the newborn's head quickly to one side while they are sleeping: This action does not elicit the Moro reflex. The Moro reflex is a response to a sudden loss of support, not a head-turning motion.
B. Place a finger in the newborn's palm: This action would elicit the palmar grasp reflex, not the Moro reflex.
C. Clap hands after laying the newborn on a flat surface: The Moro reflex is triggered by a sudden, loud noise or movement, such as clapping hands. This response causes the newborn to extend and then quickly flex the arms, a characteristic sign of the reflex.
D. Hold the newborn upright with one foot touching the crib surface: This action is not related to the Moro reflex. The stepping reflex is elicited by holding the newborn upright with their feet touching a surface, not the Moro reflex.
Correct Answer is C
Explanation
A. Incorrect. Allowing the baby to finish a bottle at the next feeding increases the risk of overfeeding and can lead to problems such as excessive weight gain and discomfort.
B. Incorrect. Placing the baby on their stomach after feedings increases the risk of choking and is not recommended. The correct position is to place the baby on their back to sleep.
C. Correct. Newborns typically need to be fed approximately every 2-3 hours, which amounts to about six to eight feedings per day. This statement indicates an understanding of the frequency of feeding required for a newborn.
D. Incorrect. Adding rice cereal to a newborn's bottle is not recommended, especially without medical advice, as it can increase the risk of choking and may not be developmentally appropriate.
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