After an unsuccessful resuscitation attempt, the nurse calls the family of the deceased.
The family wish to see the body before it is taken to the funeral home.
Which intervention(s) should the nurse take to prepare the body before the family enters the room? (Select all that apply.).
Take out dentures and place in a labeled cup.
Gently close the eyes.
Place a small pillow under the head.
Apply a body shroud.
Remove resuscitation equipment from the room.
Correct Answer : B,C,E
The correct answers are B, C, and E: Gently close the eyes, Place a small pillow under the head, and Remove resuscitation equipment from the room.
Choice B rationale: Gently closing the eyes demonstrates respect for the deceased and can provide a more peaceful appearance for the family.
Choice C rationale: Placing a small pillow under the head is a way to provide comfort and dignity in death, as well as to create a more natural appearance.
Choice E rationale: Removing resuscitation equipment from the room allows for a more serene environment for the family to grieve and say their final goodbyes.
Choice A rationale: Dentures should be left in place, as they contribute to a more natural appearance of the deceased. The exception is if the family requests their removal or if it is the facility's policy to remove dentures.
Choice D rationale: Applying a body shroud is unnecessary when the family has requested to view the body before it is taken to the funeral home. Shrouds are typically used during transportation or if the family does not wish to view the body.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Substituting natural fruit juices for carbonated drinks may be a beneficial dietary change, but it does not address the client's immediate issue of severe pain and inability to bear weight on the right ankle. This choice does not directly address the client's current problem and should not be the priority instruction in discharge teaching.
Choice B rationale:
Encouraging active range of motion to limit stiffness is the most appropriate instruction in this situation. The client's inability to bear weight on the right ankle after making dietary changes may be related to musculoskeletal issues or gouty arthritis. Active range of motion exercises can help prevent stiffness and improve joint function.
Choice C rationale:
Using an electric heating pad when pain is at its worst may provide some comfort, but it does not address the underlying cause of the severe pain in the right ankle. It is important to address the cause of the pain rather than relying solely on symptom management.
Choice D rationale:
Avoiding the consumption of wine, beer, and coffee may be relevant for some medical conditions, but it does not directly address the client's current problem of severe ankle pain and inability to bear weight. It is not the most immediate concern.
Correct Answer is D
Explanation
The correct answer is d. hypovolemic.
Choice A reason: This is not a good choice. Septic shock is a type of distributive shock that occurs when an infection causes a systemic inflammatory response that leads to vasodilation, hypotension, and organ dysfunction. Septic shock is not the most common type of shock in children, although it can be a serious and life-threatening condition.
Choice B reason: This is not a good choice. Anaphylactic shock is a type of distributive shock that occurs when an allergic reaction causes a severe and rapid hypersensitivity response that leads to bronchoconstriction, angioedema, and hypotension. Anaphylactic shock is not the most common type of shock in children, although it can be a medical emergency that requires immediate treatment.
Choice C reason: This is not a good choice. Distributive shock is a broad category of shock that occurs when there is a loss of vascular tone and blood volume distribution that leads to hypoperfusion and tissue hypoxia. Distributive shock can be caused by various factors, such as sepsis, anaphylaxis, neurogenic injury, or adrenal insufficiency. Distributive shock is not the most common type of shock in children, although it can be a complex and challenging condition to manage.
Choice D reason: This is the correct choice. Hypovolemic shock is the most common type of shock in children. Hypovolemic shock occurs when there is a loss of blood or fluid volume that leads to decreased preload, cardiac output, and blood pressure. Hypovolemic shock can be caused by various factors, such as hemorrhage, dehydration, vomiting, diarrhea, or burns. Hypovolemic shock can be a life-threatening condition that requires prompt fluid resuscitation and correction of the underlying cause.
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