Question

Difficulty: EasyEnd of Life Care

A practical nurse is preparing to provide post-mortem care for a client who has just died. The family is in the waiting room and wishes to view the body. Arrange the following nursing actions in the correct sequence from first to last.

  1. 1Elevate the head of the bed and place the client in a supine position.
  2. 2Close the client's eyes and maintain normal alignment of the mouth.
  3. 3Wash any soiled areas of the body and place a clean gown on the client.
  4. 4Invite the family members into the room to view the body.

Answer

The correct sequence is to first elevate the head of the bed, then close the client's eyes and mouth, wash soiled areas and apply a clean gown, and finally invite the family to view the body.
Post-mortem care requires a methodical approach to maintain the client's dignity and prepare the body for family viewing. Elevating the head is the immediate priority to prevent facial discoloration from blood pooling. Closing the eyes and mouth must be done next before rigor mortis sets in. Once the body is positioned and set, the nurse cleanses the body and applies clean linens. Only after the body is fully prepared and the environment is tidy should the family be invited in to view their loved one.

Step-by-Step Solution

1
Identify the immediate physical priority after death to maintain the client's appearance.
Select elevating the head of the bed and placing the client in a supine position as the first action.
Elevating the head prevents blood from pooling in the facial tissues, which would cause livor mortis (discoloration) and negatively impact the family's viewing experience.
2
Determine the next time-sensitive intervention related to the client's physical state.
Select closing the client's eyes and maintaining normal alignment of the mouth.
The eyes and mouth must be closed early before rigor mortis (stiffening of the muscles) sets in, which makes later adjustments difficult or impossible.
3
Select the hygiene and presentation actions.
Select washing any soiled areas of the body and placing a clean gown on the client.
After the body is positioned properly, cleansing and dressing the client prepares them for viewing and respects their dignity.
4
Identify the final action involving the family.
Select inviting the family members into the room to view the body.
The family should only be invited to view the body after all physical care is complete and the environment is peaceful and presentable.

Key Concept

Post-mortem care prioritizes maintaining the client's appearance, preserving dignity, and supporting the grieving family through a methodical sequence of actions.
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