A nurse is providing perineal care for a client who is incontinent. What is the primary goal in performing this care?

Apply fragrant powders to the area.

Reduce odor using alcohol-based cleansers.

Prevent skin breakdown and infection.

Enhance client comfort with scented wipes.

Answer and Explanation

The Correct Answer is C

A. Applying fragrant powders is not a primary goal and may cause irritation or respiratory issues; it is cosmetic rather than preventive.

B. Using alcohol-based cleansers can dry or irritate the skin and is not recommended as the main method to reduce odor.

C. The primary goal of perineal care for an incontinent client is to prevent skin breakdown and infection. Frequent cleansing, gentle drying, and protective barriers maintain skin integrity, reduce the risk of dermatitis or pressure injuries, and promote overall client health.

D. Enhancing comfort with scented wipes may improve the client’s experience, but it is secondary to the clinical goal of protecting the skin from damage and infection.

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Correct Answer is D

Explanation

A. Poison ivy exposure causes contact dermatitis, not a fungal infection.

B. Antiseizure medications can have dermatologic side effects but are unrelated to tinea pedis.

C. Circular, erythematous patches on the scalp indicate tinea capitis, a fungal infection of the scalp, not the feet.

D. Tinea pedis (athlete’s foot) is a superficial fungal infection that presents with redness, scaling, cracking, and sometimes itching between the toes. This is the expected clinical finding.

A. Increase the client's oxygen flow rate. B. Check the client's temperature. C. Document the findings and continue with care. D. Assess the client's pain level.

Correct Answer is A

Explanation

A. An oxygen saturation of 89% is below the normal range (typically 95–100%) and indicates hypoxemia. The nurse should immediately take action to improve oxygenation, such as increasing the oxygen flow rate as prescribed or notifying the provider if adjustments are needed.

B. Checking the client’s temperature is unrelated to acute low oxygen saturation and does not address the immediate risk of hypoxia.

C. Simply documenting the findings without intervention could allow the client’s oxygen levels to worsen, putting them at risk for organ dysfunction.

D. Assessing pain is important for overall care, but it does not address the urgent need to correct low oxygen saturation.

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A nurse is providing perineal care for a client who is incontinent. What is the primary goal in performing this care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a provider's office is caring for a client who has tinea pedis. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

When taking vital signs, a nurse notes that a client's oxygen saturation is 89%. What should the nurse do next?

Correct Answer is A

Explanation

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