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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Interpersonal conflict occurs when there is a disagreement or negative interaction between two individuals. Insulting comments directed at a nurse by another nurse clearly represent an interpersonal conflict.
B. A complaint about handoff reporting is an issue between departments and may involve interdepartmental or communication problems, not interpersonal conflict.
C. A concern about holiday hours is a work scheduling issue and may relate to workload fairness rather than interpersonal conflict.
D. A personal difficulty with caring for clients who have HIV is an intrapersonal conflict, as it reflects the nurse’s internal struggle, not a conflict between two individuals.
Correct Answer is ["A","B","C"]
Explanation
A. Promoting health care access is a core element of advocacy, ensuring clients receive appropriate care.
B. Encouraging clients to seek information from providers empowers them to make informed decisions.
C. Addressing client needs when providing resources ensures care is client-centered.
D. Making decisions on behalf of clients without their input is not advocacy and undermines their autonomy.
E. Honoring family requests to withhold information violates the client's right to know about their care unless legally justified.
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