The nurse is teaching nursing assistive personnel (NAP) how to give a complete bed bath. Which instruction should the nurse include?
a. "Cleanse only those areas likely to cause odor."
b. "Provide the patient with warm water for washing his perineum."
c. "Wash the patient's back, buttocks, and perineum first."
d. "Bathe the patient from head to toe, cleanest areas first."
D
The nurse should instruct the NAP to give a complete bed bath (a bath for patients who must remain in bed but who are able to bathe themselves), in head-to-toe fashion, beginning with the cleanest part of the body and ending with the dirtiest. The NAP should provide the patient with a basin of warm water and allow him to wash his perineum when giving an assisted bath or bed bath (this is a total bed bath). During a partial bath, the NAP should cleanse only the areas that may cause odor or discomfort. The NAP should never begin the bath with the back, buttocks, and perineum because this violates the principle of "clean to dirty."
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