The nurse is assigned to assist a 59-year-old woman who has suffered a stroke and has limited mobility

The nurse is performing perineal care and understands that the best way to prevent disease transmission to the perineum is that it should be cleaned: a. from the rectal area to the urinary meatus.
b. from the urinary meatus to the rectal area.
c. in a circular motion.
d. only twice a day.


B
Perineal care involves thorough cleansing of the patient's external genitalia and surrounding skin. Skin folds may contain body secretions that harbor microorganisms. Wiping front to back reduces chance of transmitting fecal organisms to urinary meatus. Cleaning from the rectal area to the urinary meatus or in a circular motion is incorrect because this will cause cross contamination with urine, drainage or feces.

Nursing

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A new older female client at a long-term care facility has a diagnosis of type 1 neurofibromatosis. As part of the intake assessment protocol for the facility, the clinical educator is teaching the care staff about the diagnosis

Which of the following statements most accurately conveys an aspect of neurofibromatosis? A) "The neurofibroma lesions are unsightly for the client, but they are not painful." B) "Her diagnosis puts her at higher risk of developing a malignant neoplasm." C) "She is living with an example of an autosomal recessive disorder." D) "The client is likely to be photosensitive as a result of the disease."

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Place the steps for obtaining a peak expiratory flow rate in the order in which they should occur

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Nursing

The primiparous patient has asked the nurse why her cervix has only changed from 1 to 2 cm in 3 hours of contractions occurring every 5 minutes. The best response by the nurse is:

1. "Your cervix has also effaced, or thinned out, and that change in the cervix is also labor progress." 2. "When your perineal body thins out, your cervix will begin to dilate much faster than it is now." 3. "What did you expect? You've only had contractions for a few hours. Labor takes time." 4. "The hormones that cause labor to begin are just getting to be at levels that will change your cervix."

Nursing

The nurse is teaching a group of Asian adolescents who are lactose intolerant

Of the following foods, which would the nurse recommend as a good food for them to eat to get the needed calcium in the diet without causing symptoms related to the lactose intolerance? A) Chocolate pudding B) Nonfat milk C) Soybean curd D) Cottage cheese

Nursing