What should be included in a plan of care for an older adult with diarrhea? (Select all that apply.)
a. Perineal care immediately after the diarrhea episode
b. Application of lotion to the buttocks
c. Maintenance of dry linens
d. Patting the anal area dry rather than wiping
e. Leaving excoriated areas open to the air
ANS: A, C, D, E
Lotion will not protect the skin from urine and stool. Barrier cream must be used. All other interventions listed are part of special skin care for persons with diarrhea.
You might also like to view...
A menopausal woman tells her nurse that she experiences discomfort from vaginal dryness during sexual intercourse, and asks, "What should I use as a lubricant?" The nurse should recommend:
1. Petroleum jelly. 2. A water-soluble lubricant. 3. Body cream or body lotion. 4. Less-frequent intercourse.
A home health agency has a policy requiring nurses to make routine visits at night. How might politics be used to change this policy?
1. Make visits during the day and tell the supervisor that the clients are not home at night. 2. Obtain research material to provide reasons why routine nursing visits at night are not as effective as during the day. 3. Encourage others to refuse to make routine visits at night so you will not be alone. 4. Take the supervisor to lunch and invite all the staff to join to talk the supervisor into changing the policy.
The nurse is admitting a client to the acute care facility. The health history form has a place for recording subjective data. The nurse understands that primary subjective data should be obtained from which of the following sources?
1. The client's physical assessment 2. The client's self-reports 3. The client's healthcare provider 4. The client's significant other
Nurses can prevent evaporative heat loss in the newborn by
a. Drying the baby after birth and wrapping the baby in a dry blanket b. Keeping the baby out of drafts and away from air conditioners c. Placing the baby away from the outside wall and the windows d. Warming the stethoscope and nurse's hands before touching the baby