When performing perineal care for an uncircumcised male client which nursing action is correct?
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MSC:Basic Care and Comfort38.Which instruction will the nurse provide to the nursing assistive personnel when providingfoot care for a patient with diabetes? Show
Get answer to your question and much more DIF:Apply (application)REF:862OBJ:Explain the importance of foot care for the patient with diabetes.TOP:ImplementationMSC:Management of Care39.The debilitated patient is resisting attempts by the nurse to provide oral hygiene. Which actionwill the nurse takenext? Get answer to your question and much more DIF:Apply (application)REF:866OBJ:Successfully perform hygiene procedures for the care of the skin, perineum, feet and nails,mouth, eyes, ears, and nose.TOP:ImplementationMSC:Basic Care and Comfort Introduction Perineal care involves washing the genital and rectal areas of the body. It should be done at least once a day during bed bath, shower, or tub bath. It is done more often when a patient is incontinent. This prevents infection, odors and irritation. Wash your hands, put on gloves, and maintain privacy and respect, throughout the task. Perineal care for female patients:
Perineal care for male patients:
Notes for Dementia Patients
Which instruction would the nurse give when asking nursing assistive personnel (NAP) to give a complete bed bath to a patient? Nội dung chính
Do not massage any reddened areas on the patient's skin. Do not massage any reddened areas on the patient's skin. CORRECT. The nurse should instruct the NAP not to massage any reddened areas on the patient's skin. The nurse has washed a patient's abdomen. Which area should the nurse wash next? Feet Legs CORRECT. The legs should be washed after the abdomen. A patient is being given a bed bath. The nurse realizes that another washcloth is needed to complete the bath. What is one way in which the nurse can ensure the patient's safety? Use the call light to ask someone else to bring a washcloth. Raise all four side rails on the patient's bed. Make sure the call light is within the patient's reach. Raise the bed to its highest position. Make sure the call light is within the patient's reach. CORRECT. Placing the call light within easy reach reduces the likelihood that the patient will fall while trying to get out of bed in the nurse's absence. Which patient should not have his or her feet soaked during a complete bed bath? A patient with arthritis A patient with diabetes mellitus CORRECT. Soaking the feet is contraindicated in a patient with diabetes mellitus, because such patients may have reduced sensation in the feet. The nurse is bathing a patient who is unconscious. What should the nurse do to ensure safe care of the patient's eyes? Remove eye crusts with soapy water. Use eye patches or shields taped in place. CORRECT. An eye shield or patch should be placed over each eye and taped in place. Which nursing action reduces the risk of falling as a patient is getting into or out of a bathtub? Add 1 oz of bath oil to the tub water before the patient gets into the tub. Place an "Occupied" sign on the bathroom door. Fill the tub half full of water at 110°F-115°F. Place a skidproof disposable bath mat in front of the tub. Place a skidproof disposable bath mat in front of the tub CORRECT. Placing a skidproof disposable bath mat in front of the tub will reduce the risk of falling as a patient is getting into or out of a bathtub. A patient with left-sided muscle weakness is prescribed a bath every other day. Which precaution would help the nurse reduce this patient's risk of falling? Maintain the water temperature at 104°F. Allow the patient to remain in the bath for 45 minutes. Decline the patient's request to add scented oil to the bathwater. Discuss the patient's level of fatigue after the bath. Decline the patient's request to add scented oil to the bathwater. CORRECT. Declining the patient's request to add scented oil to the bathwater will reduce her risk of falling. Bath oil increases the patient's likelihood of slipping and therefore should not be used. The nurse has just helped a patient into the bathtub. Before leaving the bathroom, what would the nurse do to help ensure the patient's safety? Show him how to use the call signal. Place an "Occupied" sign on the door. Check the cleanliness of the room. Remove unneeded supplies from the bathroom. Show him how to use the call signal. CORRECT. As a safety measure, the nurse would show the patient how to use the call signal before leaving the bathroom. The nurse is assisting a patient with a tub bath. After the patient has been safely positioned in the tub, he tells the nurse, "I'll call you when I'm done." What is the nurse's best response? "All right. Just holler when you're ready, and I'll come help you get out of the tub." "Well, I'll check back with you in about 5 minutes to see if you need anything." "That's not safe. I'll wait right outside the door for you to finish." "I'll be back in 15 minutes. That should be enough time for you to finish up." "Well, I'll check back with you in about 5 minutes to see if you need anything." CORRECT. This response represents the safest way of caring for a patient who is taking a tub bath, since it allows for frequent patient-nurse communication. The nurse is helping a patient get out of a bathtub, and the patient appears to be unsteady on her feet. What should the nurse do to help ensure the patient's safety? Drape a bath towel over the patient's shoulders. Demonstrate how to use the call light for assistance. Drain the bathtub before the patient gets out. Apply lotion to the patient's freshly dried skin. Drain the bathtub before the patient gets out. CORRECT. When helping an unsteady patient get out of a bathtub, the nurse should first drain the tub. Doing so reduces the patient's risk of falling. The nurse would not offer back massage to which of the following patients? Patient with abdominal pain Patient who is receiving continuous epidural analgesia CORRECT. Back massage is contraindicated for any patient with an epidural catheter in place for continuous delivery of an epidural analgesic. A patient with difficulty breathing requests a back massage. In which position would the nurse instruct nursing assistive personnel (NAP) to place the patient during the massage? Prone Side lying CORRECT. For a patient with respiratory difficulty, back massage is performed in the side-lying position. After performing back massage for a patient experiencing pain, what is the primary reason the nurse asks her to rate her current pain level on a scale of 1 to 10? To determine how soon the next massage should be offered To evaluate the effectiveness of the massage in relieving pain CORRECT. The nurse asks the patient to rate her current pain level in order to evaluate the effectiveness of the massage in relieving pain. The nurse delegates a patient's back massage to nursing assistive personnel (NAP). Which statement by the NAP requires the nurse to follow up? "She
likes that special lotion her daughter brought. I'll see if she wants me to use it." "The muscles of her lower back twitch when I start to rub it, but they calm down if I keep massaging her." " CORRECT. This statement requires follow-up, since massage may aggravate muscle spasms, indicated by the muscle twitching. This unexpected outcome must be reported to the nurse in charge or to the health care provider. . When preparing to delegate a patient's back massage to nursing assistive personnel (NAP), the nurse would do what first? Observe the NAP performing the skill Assess the NAP's understanding of the proper technique for back massage CORRECT. When delegating a skill to NAP, it is a nursing responsibility to determine the NAP's ability to perform the skill correctly. The nurse is delegating to nursing assistive personnel (NAP) the perineal care of a female patient who is totally dependent and confined to bed. Which statement by the NAP requires the nurse's follow-up? "I'll ask for assistance if I need help positioning her." "I'll be sure to use hot, soapy water, since she has been incontinent." CORRECT. To minimize skin irritation, warm water and mild soap should be used when cleansing the perineal area, so this statement requires the nurse's follow-up. The nurse is preparing to provide perineal care for a female patient who is on bed rest. Which patient position should the nurse use for this care? Supine Dorsal recumbent As the nurse is preparing to provide perineal care to a female patient with limited mobility, the patient says, "I can do that myself." Which action would be the priority? Provide all the necessary supplies and linen for this task. Assess the patient's ability to perform proper perineal care. CORRECT. Determining the appropriateness of self-care by assessing the patient's ability to provide her own perineal care is the priority action. How can the nurse promote infection control while providing perineal care for a female patient who has a catheter? By avoiding the application of tension on the catheter By cleansing the patient's labia from the pubic area toward the rectum CORRECT. Cleansing the labia from the pubic area toward the rectum minimizes the risk of introducing microorganisms from the rectum to the urethra and vagina. The nurse is delegating a female patient's perineal care to nursing assistive personnel (NAP). What instruction would the nurse give to ensure the NAP's safety while performing this care? Wear sterile gloves. Wear clean gloves. CORRECT. Wearing clean gloves is the best way to ensure the NAP's safety while performing perineal care. Which of the following interventions directly related to patient safety must the nurse consider when providing perineal care to an elderly male patient with a catheter? Wear clean
gloves during care. Wear Clean gloves CORRECT. The use of gloves is directed toward preventing the transmission of infection and is therefore directly related to patient safety. The nurse observes the nursing assistive personnel (NAP) providing perineal care to a male patient. Which observation of care requires the nurse's follow-up? Assisting the patient into the supine position in bed Reserving the cleansing of the tip of the penis as the final step in perineal care CORRECT. Proper cleansing requires that the tip of the penis be cleansed first, to minimize the introduction of pathogens to the meatus. The nurse's observation of improper technique requires follow-up teaching. A male patient receiving perineal care tells the nurse "It has started to hurt a little down there." What is the nurse's best response? "When did you start experiencing the pain?" "When did you start experiencing the pain?" CORRECT. This is the best response for the nurse. A nurse should ask the patient about his concerns and the perineal pain first. . The nurse has delegated a male patient's perineal care to the nursing assistive personnel (NAP). Which statement made by the NAP requires the nurse's follow-up? "I
will check to see if he cleans himself well." "I will be sure to use hot, soapy water to be sure he's clean." CORRECT. This is an inappropriate statement since warm, not hot, water and mild soap should be used when cleansing the perineal area to minimize irritation. This statement requires the nurse's follow-up. What is the primary reason for performing perineal care on a male patient with incontinence? To provide comfort and a relaxed, refreshed feeling To reduce the risk of skin breakdown in the patient's genital and perineal
area. When performing perineal care to an uncircumcised adult male patient the appropriate cleansing technique should be?The nurse is preparing to perform perineal care on an uncircumcised adult male client who was incontinent of stool. The client's entire perineal area is heavily soiled. Which technique for cleaning the penis is correct? Retract the foreskin while washing the penis; then, immediately pull the foreskin back into place. When performing perineal care for the male patient the nurse should be particularly gentle and avoid pressure when cleansing which area?Using soap, washcloth, and penis washer is best for perineal hygiene because this gently cleans the penis from the inside out to the nate care for men, use a washcloth with soap, hold the penis in one hand, and gently wash it from the meatus to Pull forward and flush the foreskin gently if the patient has not been ... What is the proper way to provide perineal care?How to perform perineal care. Gather supplies.. Provide privacy for the patient.. Wash hands and put on gloves.. With the patient on their back, instruct them to open their legs.. Cleanse the perineum, using front to back motions. ... . Never wash back to front; this causes contamination and can cause infections.. Which technique does the nurse use when providing perineal care for a male patient quizlet?The supine position is recommended for providing perineal care to male patients. Patients are placed in Fowler's position so the nurse can insert nasogastric tubes.
When performing perineal care for the male patient the nurse should be particularly gentle and avoid pressure when cleansing which area?Using soap, washcloth, and penis washer is best for perineal hygiene because this gently cleans the penis from the inside out to the nate care for men, use a washcloth with soap, hold the penis in one hand, and gently wash it from the meatus to Pull forward and flush the foreskin gently if the patient has not been ...
Which of the following describes correct technique for male perineal care?Which of the following describes correct technique for male perineal care? Lift the scrotum and wash the perineum, followed by the penis.
When performing perineal care what is important to remember?Always be gentle, as this area of the body is sensitive. Occasionally bed linens will become soiled during perineal care. If so, remove them and launder them along with the washcloth. A waterproof pad placed under the buttocks, meanwhile, can be a moisture barrier between your loved one and the bed linens.
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