The hospice nurse has notified the family that their loved one has died.
The family is coming to view the body. Which action should the nurse take?

Explain that the hospice floor is too busy for visitors.

Plan to let the family visit their loved one in the room.

Take the body to the morgue for the family to view.

Call the family and tell them not to come.

Answer and Explanation

The Correct Answer is B

End-of-life care involves applying principles of bereavement support and cultural sensitivity. Knowledge of post-mortem care and therapeutic communication is necessary. Providing a respectful environment for the family to process their loss is a core nursing responsibility in the hospice setting.

Choice A rationale

. Dismissing visitors due to being busy violates the core tenets of hospice care and bereavement support. The needs of the family are a priority following the death of a patient. Nurses must manage time to allow for family grieving and closure.

Choice B rationale

. Allowing the family to view the body in the room provides a private, familiar, and dignified setting for saying goodbye. This action supports the grieving process and is a standard of care. The room should be prepared to appear peaceful.

Choice C rationale

. Moving the body to the morgue before the family arrives is impersonal and can be distressing. The clinical environment of a morgue is not conducive to healthy grieving. Most facilities allow a period of viewing in the room first.

Choice D rationale

. Telling the family not to come is ethically inappropriate and emotionally harmful. Family presence at the time of death or shortly after is a critical component of the mourning process. Hospice philosophy emphasizes support for the entire family unit..

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Correct Answer is A

Explanation

Biliary obstruction prevents the flow of bile into the duodenum, leading to systemic accumulation of bile components. This scenario requires applying knowledge of hepatic and biliary biochemical markers to differentiate between hepatocellular damage and obstructive cholestatic patterns.

Choice A rationale

Biliary obstruction causes cholestasis. Total bilirubin (normal 0.3 to 1.0 mg/dL), alkaline phosphatase (normal 30 to 120 units/L), and GGT (normal 8 to 38 units/L) all rise because they are concentrated in the obstructed bile ducts.

Choice B rationale

In an obstructive process, alkaline phosphatase and GGT are typically significantly elevated alongside bilirubin. Normal levels of these enzymes would point toward a hemolytic cause of jaundice rather than a mechanical obstruction of the biliary tree.

Choice C rationale

Obstructive jaundice is characterized by the accumulation of bile pigments and enzymes in the blood. Low levels of these markers are inconsistent with the clinical presentation of jaundice, dark urine, and pruritus from bile salt deposition.

Choice D rationale

Amylase and glucose elevations are markers for pancreatic dysfunction or metabolic stress. While biliary stones can cause pancreatitis, low AST levels are unlikely in hepatobiliary disease, and these markers do not confirm a biliary obstruction..

A. Increased risk of hyperglycemia. B. Greater risk of diabetic retinopathy. C. Risk of thromboembolic events such as stroke. D. Higher likelihood of diabetic ketoacidosis.

Correct Answer is C

Explanation

Educating a patient with atrial fibrillation requires applying knowledge of cardiac hemodynamics and the coagulation cascade. The nurse must focus on how ineffective atrial contractions lead to blood stasis, increasing the probability of clot formation and subsequent systemic embolization.

Choice A rationale

Atrial fibrillation does not directly cause hyperglycemia. While the stress of an acute arrhythmia might slightly elevate blood glucose due to cortisol release, it is not a primary complication or a major risk specifically linked to this rhythm.

Choice B rationale

Diabetic retinopathy is a microvascular complication resulting from chronic poor glucose control over many years. It is not exacerbated or caused by the onset of atrial fibrillation, which is a macrovascular and electrical conduction issue of the heart.

Choice C rationale

In atrial fibrillation, the atria quiver instead of contracting effectively, allowing blood to pool in the left atrial appendage. This stasis leads to thrombus formation; if a clot dislodges, it can travel to the brain.

Choice D rationale

Diabetic ketoacidosis is typically triggered by infection, insulin omission, or extreme physiological stress in Type 1 diabetics. While an arrhythmia is a stressor, the most specific and dangerous direct risk of atrial fibrillation remains systemic thromboembolism

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The hospice nurse has notified the family that their loved one has died. The family is coming to view the body. Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse suspects a client with jaundice, dark urine, and pruritus has a biliary obstruction. Which set of lab results would support the nurse's suspicion?

Correct Answer is A

Explanation

A nurse is educating a Type 1 diabetic client with new-onset atrial fibrillation about the risks associated with the condition. Which complications should the nurse emphasize?

Correct Answer is C

Explanation

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The hospice nurse has notified the family that their loved one has died.
The family is coming to view the body. Which action should the nurse take?