Of the following patients, which are in need of perineal care? (Select all that apply.)

a. A patient with urinary and fecal incontinence
b. A circumcised male who is ambulatory
c. A patient with rectal and perineal surgical dressings
d. A patient with an indwelling catheter
e. A morbidly obese patient


ANS: A, C, D, E
Patients at greatest risk for skin breakdown in the perineal area are those with urinary or fecal incontinence, rectal and perineal surgical dressings, or indwelling urinary catheters, along with the morbidly obese. Circumcised males are not at high risk for acquiring infection, and ambulatory patients can usually provide self-perineal care.

Nursing

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