A nurse is caring for a male client who has a spinal cord injury. Which of the following techniques should the nurse use when providing perineal care?
Use water with no soap to prevent skin irritation.
Discard the washcloth after cleansing the urethral meatus.
Don sterile gloves to prevent infection.
Wash the penis from the scrotum to the tip using a spiral motion.
The Correct Answer is B
A. While avoiding harsh soap is important, using water alone may not adequately clean the area.
B. After cleaning the urethral meatus, the nurse should discard the washcloth or use a different part of it to prevent the spread of bacteria.
C. Clean gloves are typically sufficient unless the procedure involves a sterile environment.
D. The penis should be cleaned from the tip to the base (proximal to distal) to reduce the risk of introducing bacteria.
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Related Questions
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"}}
Explanation
“It is important that our child avoids placing anything inside the cast.”: This reflects an understanding. Inserting objects inside the cast can cause injury, skin breakdown, or infection, and should be avoided.
“We should notify the provider if the cast becomes loose over time.”: This reflects an understanding. A loose cast could lead to inadequate immobilization or further injury. Parents should report any loosening to the provider.
“We should prop the casted arm on pillows for the next 24 hours.”: This needs reinforcement. The cast should be elevated to reduce swelling, but it should not be kept elevated for 24 hours continuously. Parents should be taught to elevate the arm in intervals and monitor for signs of increased swelling or discomfort.
“We need to be very careful about how we handle the cast for the first 2 days while it dries.”: This reflects an understanding. It is important to handle the cast with care while it is drying to prevent deformities or indentations in the cast that could interfere with proper healing.
Correct Answer is D
Explanation
A. Calcium is essential for bone health but does not directly prevent neural tube defects.
B. Iron is important for preventing anemia but is not specifically linked to the prevention of neural tube defects.
C. Zinc plays a role in reproductive health but is not specifically related to preventing neural tube defects.
D. Folate (also known as folic acid) is critical for preventing neural tube defects, such as spina bifida, during early pregnancy. It is recommended that women trying to conceive take folic acid supplements before conception and during the first trimester.
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