Answer to Question 1
A
A. If the person wore dentures, reinsert them. If mouth fails to close and if it is culturally appropriate to close the mouth, place a rolled-up towel under the chin. Dentures maintain the client's natural facial expression.
B. Place small pillow or folded towel under the head or elevate head of bed 10 to15 degrees. Prevents pooling of blood in the face and subsequent discoloration.
C. Avoid placing one hand on top of the other. Placing one hand on top of the other can lead to discoloration of skin.
D. Remove soiled dressings and replace with clean gauze dressings. Use paper tape. Paper tape minimizes skin trauma. Changing dressings helps to control odors caused by microorganisms and to create a more acceptable appearance.
Answer to Question 2
C
Respect the individuality of the patient and family and support their right to have cultural or religious values and beliefs upheld. Identify and tag the body, leaving identification on the body as directed by agency policy to ensure proper identification of the body for delivery to the morgue or mortuary. After viewing, remove linens and gown, per agency policy. Place the body in a shroud provided by the agency. The shroud protects from injury to the skin, avoids exposure of the body, and provides a barrier against potentially contaminated body fluids. Removal of tubes and lines is contraindicated if an autopsy is planned.
Application of an ostomy bag or pouch: B, An ostomy nurse applying an ostomy bag to a stoma;
Jacopo da Pontormo, The Visitation.
Example of simplified note for one-time client.
Using small, circular strokes, exfoliate the client’s neck and back.
Building a Client Base Cont.
Positioning the client