A nurse is performing postmortem care for a client who has just died. Which of the following actions should the nurse take?
Explanation & Rationale
A. Close the client's eyes with paper tape: The eyes should be gently closed manually or by placing a small rolled gauze over the eyelids; paper tape can irritate the skin or damage fragile tissue and is not recommended. B. Identify the client using two identifiers: Proper identification using two identifiers, such as name and medical record number, is essential in postmortem care to ensure accurate handling of the body, compliance with legal requirements, and prevention of errors. C. Remove the client's pillow to prevent discoloration of the face: The pillow may be adjusted for comfort and positioning, but removing it to prevent discoloration is not standard practice. Discoloration due to livor mortis is a natural process and cannot be prevented by pillow placement. D. Remove the client's dentures: Dentures should remain in place during postmortem care to maintain facial structure and natural appearance for viewing by family. Removal is only necessary if required for identification or specific postmortem procedures.