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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Teaching the client’s family about recognizing signs of worsening heart failure and when to seek help is a tertiary prevention strategy aimed at managing and reducing complications of an existing condition.
B. Educating about medication side effects is important for managing treatment but is not specifically focused on preventing complications or managing disease progression.
C. Administering the influenza vaccine is a primary prevention strategy to prevent illness rather than managing an existing condition.
D. Educating about dietary modifications helps manage symptoms but does not directly address the prevention of complications in the context of tertiary prevention.
Correct Answer is C
Explanation
A. Encouraging a positive attitude is more aligned with behavior change theories rather than the Health Belief Model, which focuses on perceived threats and benefits.
B. Tailoring interventions to readiness is more specific to the Transtheoretical Model rather than the Health Belief Model.
C. Providing educational materials to increase awareness of health risks is a core component of the Health Belief Model, as it aims to enhance perceived susceptibility and severity of health issues.
D. Group interaction and reinforcement are strategies more related to social support and behavioral theories rather than the Health Belief Model’s focus on individual perceptions and risks.
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