When a client dies, which of the following is the highest priority for the nurse caring for the client? Select all that apply. Standard Text: Select all that apply

Question

1. Wash the body of the deceased person as thoroughly as possible.
2. Remove all tubes that have been inserted into the body.
3. Comply with religious and cultural wishes of the family as far as possible.
4. Place the body supine and close the eyes.
5. Elevate the head of the deceased 30 degrees.

Answer 1

3,5
Rationale: The nurse first must consider religious and cultural wishes of the client, as some religions and cultures have preferences that should be followed, if at all possible. The body will be washed to remove any secretions and make it look presentable for family who visit, but is not washed "as thoroughly as possible" because the funeral home will prepare the body for viewing if indicated. Removal of tubes depends on facility policy, state and local laws, and the need for the coroner to examine the body. The body is positioned so that the head is elevated 30 degrees to prevent discoloration of the face with the eyes closed. Laying the body supine increases risk of discoloration of the face and head, as blood will settle in the dependent area.