The family has viewed the body. The body is moved when:
a. The family has had 1 hour with the child
b. When the family is ready and has given permission
c. When the mortician arrives
d. At the end of the shift
B
The body is removed when the family is ready and has given permission.
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A nurse answers a call light on the postoperative nursing unit. The client states there was a sudden gush of blood from the incision, and the nurse sees a blood spot on the sheet. What action should the nurse take first?
a. Assess the client's blood pressure. b. Perform hand hygiene and apply gloves. c. Reinforce the dressing with a clean one. d. Remove the dressing to assess the wound.
The parents of a newborn girl express concern about the infant's vaginal discharge, which appears to be bloody mucus. What does the nurse explain as the cause?
a. Premature stimulation of the ovarian hormones by the pituitary system b. Cessation of female sex hormones transferred in utero from mother to infant c. The increased amount of circulating blood from the mother throughout pregnancy d. Trauma to the genitalia during the birth process
A 31-year-old patient is scheduled to have a hysterectomy in the morning. You have finished her admission assessment and are now developing her care plan
What is a major nursing diagnosis you might include in this patient's care plan? A) Chronic pain related to adjacent therapies B) Disturbed body image related to fears about relationships with partner and family C) Anxiety related to possible perception of postoperative childbearing D) Deficient knowledge of the preoperative aspects of hysterectomy
The nurse on a medical-surgical unit is providing caring for a 40-year-old patient with pulmonary arterial hypertension (PAH). The prescriber has ordered sildenafil (Revatio) for the patient
Which of the following situations would prompt the nurse to call the prescriber prior to starting administration of the drug? a. Blood glucose of 100, and the patient has type 2 diabetes b. Blood pressure of 108/51 and concurrent use of nitrates c. Respirations of 16, and the patient is taking an opiate every 6 hours d. Jaundice of the sclera with a history of cirrhosis