NUR 340L – Final Exam Questions and Complete Solutions
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Course
NUR 340
Institution
NUR 340
What are postmortem cultural considerations for African Americans? -prefer having a member of the healthcare team clean and prepare the deceased's body -organ donation and autopsy allowable
What are postmortem cultural considerations for Chinese Americans? -family usually stays with deceased for u...
NUR 340L – Final Exam Questions and
Complete Solutions
What are postmortem cultural considerations for African Americans? ✅-prefer having a
member of the healthcare team clean and prepare the deceased's body
-organ donation and autopsy allowable
What are postmortem cultural considerations for Chinese Americans? ✅-family usually
stays with deceased for up to 8 hours after death
-oldest son or daughter bathes the body under direction from older relative or temple
priest
-organ donation and autopsy are uncommon
What are postmortem cultural considerations for Jewish cultures? ✅-no preparation of
the body until it is known whether members from the Jewish Burial Society are coming
-family member may stay with the body until burial
-cremation, autopsy, and embalming may be avoided
The patient was a practicing Hindu when he died. Knowing this, the nurses realizes that:
a. family members often prefer to wash the body after death
b. the body should be buried within 24 hours
c. the body should be covered with a cotton sheet ✅a. family members often prefer to
wash the body after death
When caring for a patient who is an appropriate candidate for organ or tissue donation,
the nurse knows that requests for donation are:
a. a possible inclusion in the advanced directive
b. required by state law
c. the total responsibilities of the survivors
d. made only by the MD ✅a. a possible inclusion in the advanced directive
A nurse has the responsibility of managing a deceased client's postmortem care.
Arrange the steps for postmortem care in the proper order.
1. bathe the body
2. collect any needed specimens
3. remove all drains and indwelling tubes
4. position the body for family visit/viewing
5. speak to the family members about their possible participation
6. confirm that request for organ/tissue donation and/or autopsy has been made
7. notify a support person for the family
8. accurately tag the body, indicating deceased's identity and safety issues regarding
infection control ✅6. confirm that request for organ/tissue donation and/or autopsy has
been made
2. collect any needed specimens
, 5. speak to the family members about their possible participation
7. notify a support person for the family
3. remove all drains and indwelling tubes
1. bathe the body
4. position the body for family visit/viewing
8. accurately tag the body, indicating deceased's identity and safety issues regarding
infection control
In preparation for dressing changes, what should the nurse do 30-45mins prior?
✅administer analgesics as needed
How is an old dressing removed? ✅pulling from far to near
What labs are important to look at for a patient with a wound? ✅-WBC
-protein
-albumin and prealbumin
-ESR
-coags
-wound cultures
What nutrition education should be provided to a patient with a wound? ✅increased
protein, vitamin C, zinc, and copper
How can the nurse prevent skin breakdown? ✅-side to side and then supine
positioning
-using pillows and wedges for the back above the buttocks
-using pillows the long way between the legs, under the hips, and under elbows
-specialty mattresses
-turning/repositioning Q2Hr
How should a wound be cleaned? ✅clean from least contaminated to the most
contaminated
When applying the wet to dry dressing, what is important to do with the primary dressing
(packing gauze)? ✅make sure it touches all sides of the wound
How soon can sutures and staples be removed? ✅7 to 14 days
How soon can retention sutures be removed? ✅14 to 21 days
What are the primary effects of negative pressure wound therapy? ✅-removes exudate
-moist wound surface
-reduces edema
-causes traction to close wound
-stretch on the cells to promote healing
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