The unconscious male client's beard has become soiled with blood and adhesive tape residue. Which does the nurse implement to maintain client hygiene?
1. Trim the beard to a short, manageable length.
2. Shampoo beard at the bedside and comb out debris.
3. Determine contraindications to trimming the beard.
4. Use baby powder to soak up debris; comb debris out.
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3. The nurse ensures that trimming or removing the beard is acceptable to the client's family because several cultures forbid removal of facial hair. In addition, clients can spend years growing a beard and want to keep it. The client is likely to become angry and dissatisfied on realizing that his beard is gone.
1. The nurse obtains permission before trimming a beard.
2. Shampooing a beard is impractical and the client is likely to become quite wet in the process.
4. Baby powder is an ineffective method of cleaning hair. Powdered shampoos are available, but they are an ineffective method of removing adhesive tape residue from hair.
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