A provider has just pronounced the death of a client receiving palliative care in a skilled nursing facility. The family is en route to the facility to view the body. In what order should the licensed practical nurse (LPN) perform the following post-mortem care actions? (Arrange the actions from first to last.)
- 1Verify the client's medical record to confirm that an autopsy is not required.
- 2Elevate the head of the bed slightly and gently close the client's eyelids.
- 3Remove the client's indwelling urinary catheter and peripheral intravenous line.
- 4Wash any soiled areas of the body, place an absorbent pad under the buttocks, and apply a clean gown.
- 5Position the client supine with arms resting at the sides and draw the top sheet up to the shoulders.
Answer
The correct sequence is: verify autopsy status, elevate the head of the bed and close the eyelids, remove medical tubes and lines, wash the body and apply a clean gown, and finally position the client with the sheet drawn up to the shoulders.
The correct sequence for post-mortem care prioritizes legal requirements and time-sensitive physiological changes. First, the nurse must verify the autopsy status, as tubes and lines must remain in place if an autopsy or medical examiner review is required. Second, elevating the head of the bed must be done quickly to prevent livor mortis from discoloring the face, and closing the eyelids is easiest before rigor mortis sets in. Third, once autopsy is ruled out, invasive tubes and lines are safely removed. Fourth, the body is washed, absorbent pads are placed to catch any relaxing sphincter output, and a clean gown is applied. Finally, the client is positioned naturally with the sheet drawn up to the shoulders to create a peaceful, dignified viewing environment for the arriving family.
Step-by-Step Solution
Key Concept
Post-Mortem Care Sequencing