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. "Why is it important for me to do this?" is not one of the "Ask Me 3" questions, which focus on understanding the main problem, necessary actions, and medications. This question indicates a misunderstanding of the concept.
B. "What is my main problem?" is a core component of the "Ask Me 3" questions, which aim to clarify the primary issue for the client.
C. "What medications do I need to take?" is also a part of the "Ask Me 3" questions, focusing on understanding medication needs.
D. "What do I need to do?" is another essential question in the "Ask Me 3" concept, helping clients understand the actions they need to take.
Correct Answer is ["A","C","D"]
Explanation
A. In Catholicism, the sacrament of Anointing of the Sick is often performed by a priest to prepare the individual spiritually for the afterlife, making this statement accurate.
B. Protestants do not typically have a practice of blessing with holy water in preparation for death; this practice is more specific to other Christian denominations.
C. Muslims do believe in an afterlife and it is common practice to position the deceased facing Mecca, reflecting respect for their religious traditions.
D. In Buddhism, healthcare decisions are often guided by family members, reflecting the importance of family in making decisions, though practices may vary by specific Buddhist traditions.
E. Judaism generally supports organ donation as a mitzvah, or good deed, rather than as preparation for the afterlife. This statement might not fully capture Jewish perspectives on organ donation.
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