Older adult patients produce less sebum and perspire less than younger patients. Therefore when providing personal hygiene the nurse should do which of the following?
a. Use hot water and regular soap.
b. Use plain water and a soft towel.
c. Provide a total bed bath every day.
d. Use warm water and a mild cleansing agent.
D
Older patients' skin is more fragile; therefore avoid hot water (warm water is preferred) and use a mild cleansing agent. Some authorities suggest using bath oils; however, this increases the danger of falling in a slippery tub. Advise against the use of hot water for bathing as well as too lengthy bathing sessions to prevent loss of oils and excessive drying of skin. Also encourage patients to consume a balanced diet including foods rich in antioxidants, vitamins, and minerals, and to consume adequate fluids. Stress safety concerns in the home such as failure to adjust the water temperature when bathing or showering or slipping on wet surfaces in the bathroom.
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The nurse is planning care for client who weighs70 kg client and is post-op day 1 after spinal fusion surgery. Which is an appropriate outcome for this client?
A) The client will remain prone position. B) The client will maintain urine output at 20 ml per hour. C) The client will use the incentive spirometer every 2 hours. D) The client will void 12 hours after surgery.
Among the following computer-related policies, which of the following are appropriate? Select all that apply
1. A nursing student shared confidential lab results obtained from the system at the request of one of the student's relatives. The policy is to dismiss the student from the clinical site. 2. Both students and employees sign documents that explain the consequence of termination for misuse of the system. 3. Access codes are assigned to authenticate each individual user's identity and may not be shared with anyone. 4. A radiology student makes a copy of a client's MRI report to prepare for the next days clinical. The copy is accidentally left in the waiting room and found by a staff member. The policy is to dismiss the student from the clinical site. 5. Once trained and entered into the system, employees may sign other users in under their access code for documentation purposes when necessary.
The nurse implements skin care for the client with a pressure ulcer. Which does the nurse choose to relieve pressure for a client with a pressure ulcer?
1. Air mattress 2. Bariatric bed 3. Low-air-loss bed 4. Egg crate overlay
The nurse is caring for a child admitted with acute appendicitis. Prior to the child going to the operating room for emergency surgery, which nursing intervention should the nurse perform?
A) The nurse gives the child laxatives to evacuate the colon B) The nurse encourages the child and family to express their fears C) The nurse administers oral fluids to prevent dehydration D) The nurse applies a heating pad to the abdomen to manage pain