A nurse plans care for a client who has chronic diarrhea. Which actions should the nurse include in this client's plan of care? (Select all that apply.)
a. Using premoistened disposable wipes for perineal care
b. Turning the client from right to left every 2 hours
c. Using an antibacterial soap to clean after each stool
d. Applying a barrier cream to the skin after cleaning
e. Keeping broken skin areas open to air to promote healing
ANS: A, B, D
The nurse should use premoistened disposable wipes instead of toilet paper for perineal care, or mild soap and warm water after each stool. Antibacterial soap would be too abrasive and damage good bacteria on the skin. The nurse should apply a thin layer of a medicated protective barrier after cleaning the skin. The client should be re-positioned frequently so that he or she is kept off the affected area, and open skin areas should be covered with DuoDerm or Tegaderm occlusive dressing to promote rapid healing.
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The nurse initiates the first step in helping patients to increase adaptability, which is to:
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The nurse administering potassium iodide for the treatment of goiter will:
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