While providing postmortem care to a patient who has died the patient elicits a respiratory sound when turned. What should the nurse do?
1. Check for a pulse.
2. Reposition the airway.
3. Continue with the postmortem care.
4. Report to the physician the patient is still breathing.
3. Continue with the postmortem care.
Explanation: 1. Checking for a pulse is not necessary in a deceased patient.
2. Repositioning the airway is not necessary in a deceased patient.
3. When the body is moved or the extremities repositioned, the body may produce respiratory-type sounds or the chest may appear to rise and fall. This can be alarming, but is only the sound of air leaving the lungs.
4. Contacting the physician is not necessary because the sound is a normal finding.
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