The nurse bathes an unconscious client. Which does the nurse implement to maintain infection control during a bed bath?
1. Uses long strokes and lotion to massage both legs
2. Performs a complete assessment of the client's skin
3. Washes each eye carefully, rinsing all traces of soap
4. Soaps the entire front of the client's body and then rinses.
2
2. The nurse assesses the client's skin during a bed bath because the skin is a major part of the body's innate defense against microorganisms. The nurse identifies areas of the client's skin with a potential for breakdown and plans preventive or restorative nursing care.
1. Lower extremities are not massaged, to prevent dislodging a potential thrombus.
3. Warm water is used to cleanse the eyes because soap is likely to cause client dis-comfort if it seeps into the client's eyes.
4. The nurse washes and rinses smaller areas of the body to complete a bed bath be-cause wetting a large surface area can cause vasoconstriction and shivering in the client from the cooling effects of evaporation.
You might also like to view...
A nurse is to administer eardrops to an adult client. In which direction should the nurse pull the pinna?
a. upward and outward c. down and outward b. down and back d. upward and back
What are the two main functions of the inner ear?
a. amplification and sound transmission b. hearing and equilibrium c. pressure equalization and hearing d. sound transmission and pressure equalization
Complementary therapies include a wide variety of modalities including which of the following?
a. Relaxation techniques d. All of the above b. Herbal treatments e. a and c only c. Prayer
How can a nurse who belongs to a union best explain collective bargaining to a coworker?
a. It is a conflict-based power strategy used to equalize the power between labor and management. b. It is the right of all workers to organize and strike to gain more benefits. c. It is the ability of large numbers of work-ers to force management into recognizing them as valuable. d. It is using picket lines and violence to achieve higher pay, better working condi-tions, and shorter hours.