The client's skin is thin and tight. Which should the nurse implement to maintain skin integrity?
1. Increase bathing to three times daily.
2. Use very mild soap or prepackaged bath.
3. Avoid lotions to help retain skin moisture.
4. Massage skin briskly to increase circulation.
2
2. The skin needs to be moist and supple for strength and elasticity. A lack of mois-ture is causing the client's tight skin, so the nurse plans care to retain surface oils and moisture. Very mild soap or a prepackaged bath product is less likely to remove sur-face oils vital to retaining skin moisture and is part of a skin care program that in-cludes providing adequate internal hydration, nutrition, and hygiene using products and techniques to enhance the client's moisture retention.
1. Bathing three times daily is excessive for a client with thin, tight skin and it poten-tially increases the risk of skin breakdown by stripping the skin of surface oils and moisture. If frequent bathing is required to remove body fluids and waste, the nurse needs to plan specialized skin care to help the client's skin retain moisture.
3. Hydrating the skin's surface is less effective than providing adequate hydration to the client internally for moisture retention, but it is part of a total skin care program.
4. Brisk massaging is contraindicated for thin, tight skin.
You might also like to view...
Signs of hyperkalaemia include:
a. calf pain. b. arrhythmias. c. confusion. d. all of the above.
The nurse is caring for a client suspected of having bipolar disorder. Which assessment findings that have occurred over the period of a week support the nurse's suspicion?
A. Difficulty sleeping, obsession with death, hallucinations B. Delusions, unkempt appearance, fatigue C. Abnormal eating patterns, feelings of despair, flight of ideas D. Increased goal-directed behavior and talkativeness, distractibility
When muscles shorten, they are ____________________.
Fill in the blank(s) with the appropriate word(s).
A young patient has been diagnosed with testicular cancer. He and his wife had been trying to conceive a child for several months. What information does the nurse give the couple about sperm storage?
A. Arrangements for sperm storage should be made as soon as possible after diagnosis B. Sperm collection should be completed after radiation therapy or chemotherapy C. Two or three samples should be collected 6 days apart D. Saving sperm prevents fears related to ED.