The nurse is providing postmortem care to a client who is on home hospice care and has just died. What action should the nurse take?

Apply clean gauze pads over the client's open eyes to prevent damage.

Place the dentures in a bag that is clearly marked with the client's name.

Remove the client's urinary catheter ensuring that the perineum is clean.

Secure the client's upper extremities by tying them together over the abdomen.

Answer and Explanation

The Correct Answer is A

A. "Apply clean gauze pads over the client's open eyes to prevent damage." This is appropriate. Closing the client's eyes and placing gauze pads over them helps to prevent drying and damage, maintaining a respectful appearance of the deceased.
B. "Place the dentures in a bag that is clearly marked with the client's name." This is incorrect. While it is important to handle personal items with respect, this option is less relevant to postmortem care compared to the other options.
C. "Remove the client's urinary catheter ensuring that the perineum is clean." This is incorrect. If the client is on home hospice care and has just died, it is generally not necessary to remove the urinary catheter unless specifically required by the hospice protocols.
D. "Secure the client's upper extremities by tying them together over the abdomen." This is incorrect and inappropriate. Tying extremities is not a standard practice and does not align with respectful postmortem care.

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Correct Answer is A

Explanation

A. Slippery bathroom surfaces without grab bars are a significant risk factor for falls, as they can lead to slips and lack of support while moving.
B. Clutter-free pathways and floors reduce the risk of tripping hazards, which is beneficial for fall prevention.
C. Adequate lighting helps in reducing the risk of falls by making it easier to see potential hazards.
D. Securely fastened area rugs do not pose a risk; rather, they prevent tripping hazards associated with loose rugs.

A. To give traditional medical care B. To prevent and relieve suffering and discomfort C. To bridge between curative and hospice care D. To provide aggressive treatment while there is still hope

Correct Answer is B

Explanation

A. Traditional medical care focuses on active treatment with the aim of curing or controlling the disease, which is not the goal of palliative care in this context.
B. Palliative care aims to prevent and relieve suffering and discomfort, focusing on improving the quality of life for clients with serious illnesses.
C. Bridging between curative and hospice care does not accurately describe the primary focus of palliative care, which is to manage symptoms and improve comfort.
D. Providing aggressive treatment is contrary to the principles of palliative care, which focuses on comfort and quality of life rather than pursuing further curative interventions.

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Nursing Test Bank

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