CHPN Exam Review | UPDATED Questions with 100% Verified
Answers
Question:
Rigor Mortis
Answer:
- 2-6 hours after death
- adenosine phosphate (ATP) ceases to be synthesized due to depletion of glycogen
stores
- begins in the involuntary muscles (heart, GI, bladder, arteries)
- Ceases after 96 hours
- persons with larger body mass more pronounced to rigor
- persons of smaller mass are less subject to rigor
Question:
Nursing implications for Rigor Mortis
Answer:
-natural and immediate positioning does not impact the appearance of the body
- position person in relaxed peaceful manner
- use petroleum jelly to help close eyelids
- position head on pillow so jaw doesn't hang open
- fold hands
- if rigor mortis does occur funeral home director can massage it out
- reassure family muscles can contract so it can appear that they move
Question:
Algor mortis
Answer:
The cooling of the body after death
- temp drops to 1-1.8 degrees celsius
- as body cools it loses its natural elasticity
- if high fever was present before death, body temp is more pronounced and the person
may appear to sweat after death
- body cooling can take more hours to cool if fever present
,Question:
Nursing implications of algor mortis
Answer:
- can prepare family for the coolness of the skin to touch or increased moisture
explaining changes
- suggest kissing hair instead of skin
- skin becomes fragile, can tear easily
- apply dressings for skin tear with circular bandage or paper tape
- do not place traction on skin
Question:
Postmortem decomposition or "Liver Mortis"
Answer:
- discoloration and softening of the body are caused by breakdown of red blood cells
and resultant relase of hemoglobin that stains vessel walls and tissues
- Appears as mottling or bruising
- appears in dependent parts of body where sking has been punctured (IV or chest tube
sites)
- becomes extensive in short time
- has gray hue
- in cardiac deaths- face is purple regardless of positioning
Question:
Nursing implications for Liver mortis
Answer:
- inform family member this is normal changes
- prop body on pillows and shoulders/head and raise HOB to 30 degrees
- remove heavy blankets and cover with thin sheet
Question:
Beneficence
Answer:
, obligation to "do good" to act for another benefit
- consider benefits, burdens, and cost of treatment to ensure beneficence
Question:
Nonmaleficence
Answer:
to not inflict harm or "do not harm"
- invoked when deliberating about life prolonging therapies that can harm a patient by
causing increased suffering without increasing quality of life
- can offer justification for withholding/withdrawing treatments
Question:
Futility
Answer:
irreversibly- dying patients have reached a point where further treatment provides no
physioogical benefit or is hopeless and optional
- used to justify witholding/withdrawing therapy
- makes judgement based on both values and evidence
Question:
Justice
Answer:
fair, equitable, and appropriate treatment in light of what is due or owed to persons
Question:
Distributive justice
Answer:
allocation of scarce healthcare resources
- distribution of societal rights and responsibilities
Question:
Vulnerability
Answer:
Answers
Question:
Rigor Mortis
Answer:
- 2-6 hours after death
- adenosine phosphate (ATP) ceases to be synthesized due to depletion of glycogen
stores
- begins in the involuntary muscles (heart, GI, bladder, arteries)
- Ceases after 96 hours
- persons with larger body mass more pronounced to rigor
- persons of smaller mass are less subject to rigor
Question:
Nursing implications for Rigor Mortis
Answer:
-natural and immediate positioning does not impact the appearance of the body
- position person in relaxed peaceful manner
- use petroleum jelly to help close eyelids
- position head on pillow so jaw doesn't hang open
- fold hands
- if rigor mortis does occur funeral home director can massage it out
- reassure family muscles can contract so it can appear that they move
Question:
Algor mortis
Answer:
The cooling of the body after death
- temp drops to 1-1.8 degrees celsius
- as body cools it loses its natural elasticity
- if high fever was present before death, body temp is more pronounced and the person
may appear to sweat after death
- body cooling can take more hours to cool if fever present
,Question:
Nursing implications of algor mortis
Answer:
- can prepare family for the coolness of the skin to touch or increased moisture
explaining changes
- suggest kissing hair instead of skin
- skin becomes fragile, can tear easily
- apply dressings for skin tear with circular bandage or paper tape
- do not place traction on skin
Question:
Postmortem decomposition or "Liver Mortis"
Answer:
- discoloration and softening of the body are caused by breakdown of red blood cells
and resultant relase of hemoglobin that stains vessel walls and tissues
- Appears as mottling or bruising
- appears in dependent parts of body where sking has been punctured (IV or chest tube
sites)
- becomes extensive in short time
- has gray hue
- in cardiac deaths- face is purple regardless of positioning
Question:
Nursing implications for Liver mortis
Answer:
- inform family member this is normal changes
- prop body on pillows and shoulders/head and raise HOB to 30 degrees
- remove heavy blankets and cover with thin sheet
Question:
Beneficence
Answer:
, obligation to "do good" to act for another benefit
- consider benefits, burdens, and cost of treatment to ensure beneficence
Question:
Nonmaleficence
Answer:
to not inflict harm or "do not harm"
- invoked when deliberating about life prolonging therapies that can harm a patient by
causing increased suffering without increasing quality of life
- can offer justification for withholding/withdrawing treatments
Question:
Futility
Answer:
irreversibly- dying patients have reached a point where further treatment provides no
physioogical benefit or is hopeless and optional
- used to justify witholding/withdrawing therapy
- makes judgement based on both values and evidence
Question:
Justice
Answer:
fair, equitable, and appropriate treatment in light of what is due or owed to persons
Question:
Distributive justice
Answer:
allocation of scarce healthcare resources
- distribution of societal rights and responsibilities
Question:
Vulnerability
Answer:
