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Before rigor mortis occurs, what is the nurse responsible for?
- A. Providing a complete bath and dressing change
- B. Placing one pillow under the body's head and shoulders
- C. Removing the body's clothing and wrapping the body in a shroud
- D. Allowing the body to relax normally
Correct Answer: B
Rationale: Before rigor mortis occurs, it is essential to place a pillow under the body's head and shoulders to maintain proper positioning. This helps prevent postmortem changes and ensures a more dignified appearance. Providing a complete bath and dressing change, removing clothing, or wrapping the body in a shroud are tasks typically done after rigor mortis sets in or later in the postmortem care process. Allowing the body to relax normally does not address the need for proper positioning before rigor mortis occurs.
You may also like to solve these questions
Which hormone is secreted by the Islets of Langerhans?
- A. Progesterone
- B. Testosterone
- C. Insulin
- D. Hemoglobin
Correct Answer: C
Rationale: Insulin is the hormone secreted by the Islets of Langerhans in the pancreas. These specialized cells are responsible for regulating blood sugar levels by releasing insulin in response to high blood glucose levels. Insulin helps cells absorb glucose from the bloodstream, thereby lowering blood sugar levels.
What is the best position for examining the rectum?
- A. Prone
- B. Sim's
- C. Knee-chest
- D. Lithotomy
Correct Answer: C
Rationale: The knee-chest position is the most optimal position for examining the rectum. In this position, the patient kneels on the examination table with their chest resting on it, creating a straight line from the head to the lower back. This position allows for easier access and visualization of the rectal area, making it the preferred choice for rectal examinations.
Which technique in physical examination is used to assess the movement of air through the tracheobronchial tree?
- A. Palpation
- B. Auscultation
- C. Inspection
- D. Percussion
Correct Answer: B
Rationale: Auscultation is a technique in physical examination used to assess the movement of air through the tracheobronchial tree. During auscultation, healthcare providers listen to lung sounds using a stethoscope to detect abnormalities such as wheezing, crackles, or diminished breath sounds, which can indicate conditions affecting the airways or lungs.
The healthcare professional prepares to administer buccal medication. The medicine should be placed...
- A. On the client's skin
- B. Between the client's cheeks and gums
- C. Under the client's tongue
- D. On the client's conjunctiva
Correct Answer: B
Rationale: Buccal medication is administered by placing it between the client's cheeks and gums. This route allows for the medication to be absorbed through the mucous membranes in the mouth, providing a rapid onset of action compared to oral ingestion. Placing the medication under the tongue (sublingual) allows for absorption through the sublingual mucosa, not the buccal mucosa. Placing medication on the skin or the conjunctiva is not appropriate for buccal administration.
A client who is unconscious needs frequent mouth care. When performing mouth care, what is the best position for the client?
- A. Fowler's position
- B. Side-lying
- C. Supine
- D. Trendelenburg
Correct Answer: B
Rationale: When providing mouth care to an unconscious client, the side-lying position is the best choice. This position helps prevent aspiration by allowing any fluids to drain out of the mouth easily, reducing the risk of choking or aspiration pneumonia. Placing the client in a side-lying position also promotes comfort and safety during the procedure.