The client is on complete bed rest. Which position does the nurse use to provide perineal care to a dependent female client?
1. Prone
2. Supine
3. Lateral
4. Fowler's
3
3. The nurse uses the lateral position to provide perineal care for a dependent female client because this position provides the most client comfort for bathing, facilitates access to the perineum while maintaining client privacy, and turns the client in prep-aration for a linen change, thus maximizing the efficiency of the nurse's actions.
1. The prone position is contraindicated to provide perineal care to a female client because bath water is likely to flow in retrograde fashion to contaminate the vagina and urinary meatus with microorganisms from the anus. In addition, lying on the stomach can be contraindicated for physical reasons and can be uncomfortable for the client.
2. The supine position is not used to provide perineal care because the only way to access the perineum is to bend the client's knees and expose the area; it is very diffi-cult to maintain client privacy in this manner.
4. Positioning a client in Fowler's position is contraindicated for perineal care because sitting upright makes accessing the perineum very difficult because it ends up directly under the client's torso.
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