The nurse is caring for a client with perineal excoriation caused by diarrhea from acute gastroenteritis. Which client statement indicates that additional teaching about perineal care is needed?
a. "I will rinse my rectal area with warm water after each stool and then apply zinc oxide ointment."
b. "I will clean my rectal area thoroughly with toilet paper after each stool and then apply aloe vera gel."
c. "I will take a sitz bath three times a day and then pat my rectal area gently but thoroughly to make sure I am dry."
d. "I will clean my rectal area with a soft cotton washcloth and then apply vitamin A and D ointment."
B
Toilet paper can irritate the sensitive perineal skin, so warm water rinses or soft cotton washcloths should be used instead. Although aloe vera may facilitate healing of superficial abrasions, it is not an effective skin barrier for diarrhea. Skin barriers such as zinc oxide and vitamin A and D ointment help protect the rectal area from the excoriating effects of liquid stools. Patting the skin is recommended instead of rubbing the skin dry.
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Calculate the amount to administer: ________.
Ordered: 4,500 units heparin subcut nowOn hand: See label
Fill in the blank(s) with the appropriate word(s).