A nurse is providing perineal care to a client who has delivered a baby. Which intervention should a nurse provide during perineal care?
A) Place a towel under the client's hips.
B) Use cotton balls moistened with cold water.
C) Wipe the urethral area in a circular motion.
D) Cleanse the area from back to front.
A
Feedback:
A towel should be placed under the client's hips to protect the bed; it can be used to dry the client's perineal and rectal areas. The nurse should wipe the outside areas first, saving the last sponges for the urethral area, and cleanse the area from front to back, not back to front, with tissue or sponges to prevent contamination of the vaginal area and urinary meatus with microorganisms from the external labia and anus.
You might also like to view...
The nurse is working with a group of clients with personality disorders who are attending a cognitive behavioral therapy session. The nurse recognizes that the clients who are most responsive to this type of therapy have which personality trait?
1. Agreeableness 2. Dramatic 3. Eccentric 4. Inflexible
Which of the following health care organizations provides comfort and support to a patient and the patient's family when the patient has a limited amount of time to live?
A. Cancer center B. Hospice facility or agency C. Acute care facility D. Nursing home
A pregnant 14-year-old client confides having problems with bulimia nervosa. Which nursing observation best supports the client's statement?
1. The client reports dietary cravings for soil and clay. 2. In terms of food variety and quantity, the client's diet is extremely restrictive. 3. Despite being extremely underweight, the client describes herself as being fat. 4. The client is of normal weight for her height and reports binge eating followed by purging.
The blood and synovial tissues of patients with rheumatoid arthritis often contain an autoantibody produced by B lymphocytes
Indicate whether the statement is true or false