Author Question: A client has just been pronounced dead. The first action the nurse should take is to: A) Remove ... (Read 72 times)

tingc95 · **on:** Jul 8, 2018

A client has just been pronounced dead. The first action the nurse should take is to:

A) Remove all tubes
B) Don gloves
C) Grasp the eyelashes and gently pull the lids down
D) Insert the dentures into the mouth

Question 2

The nurse cares for a client who is near death. For which change, indicating that death is imminent, should the nurse observe?

A) Deep breaths with periods of apnea
B) Mottling of upper extremities
C) Skin cool and dusky
D) Signs of respiratory alkalosis

wshriver · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

Ans: B
Feedback:
After the pronouncement of death, the nurse should glove, remove all tubes, replace soiled dressings, pad the anal area in case of drainage, and gently wash the body to remove any discharges. The body should lie on its back, with head and shoulders elevated on a pillow. The nurse should grasp the eyelashes and gently pull the lids down. Insertion of dentures is necessary.

Answer to Question 2

Ans: C
Feedback:
Physiological changes that occur when death is imminent include gradual hypoxia, respiratory acidosis (not alkalosis), and renal failure. Changes in respiratory patterns (shallow not deep breaths with periods of apnea) may indicate significant neurological declines, with Cheyne-Stokes respirations often heralding the impending death. Skin may appear dusky or gray and feel cold or clammy. Mottling of the lower (not upper) extremities may take place days or hours before the actual death.