The nurse is preparing the body of a client who was killed in a car accident for the family to view. Which step would be contraindicated?
A) Removal of all IVs and other medical tubing.
B) Clean, position, and cover the client with a sheet, exposing only the head and a hand.
C) Inform the family that they can have as much time alone with the client as they wish.
D) Respect all religious and cultural practices of the family.
Ans: A
Feedback:
In an effort to limit exposure to the disturbing sight of equipment and medical supplies, the nurse should, if possible, remove unneeded items and clean, position, and cover the client. However, under some circumstances (such as an unexpected death), intravenous and other lines and tubes should not be removed, as the body may need to be examined by a medical examiner. Having time alone with the client is an important step for some families, whereas others appreciate the presence of a nurse, a spiritual leader, or friends. Religious and cultural beliefs and customs should be observed as much as possible.
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