A nurse is providing skin care for a client who has urinary incontinence. Which of the following actions should the nurse take?
Use soap to clean the client's skin.
Apply friction when drying the client's skin.
Use hot water to clean the client's skin.
Apply a barrier cream to the client's skin.
The Correct Answer is D
Choice A reason: Using soap to clean the client's skin is not a recommended action, as it can dry out and irritate the skin, increasing the risk of skin breakdown and infection.
Choice B reason: Applying friction when drying the client's skin is not a recommended action, as it can damage and abrade the skin, causing pain and inflammation.
Choice C reason: Using hot water to clean the client's skin is not a recommended action, as it can increase the blood flow and inflammation to the skin, as well as remove the natural oils that protect the skin.
Choice D reason: Applying a barrier cream to the client's skin is a recommended action, as it can moisturize and protect the skin from the effects of urine, such as acidity, bacteria, and enzymes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: White rice is not a food that can cause diarrhea, as it is a bland and starchy food that can help bind the stool and reduce the frequency of bowel movements.
Choice B reason: Ripe bananas are not a food that can cause diarrhea, as they are rich in potassium, which can help replenish the electrolytes lost due to diarrhea. They also contain pectin, a soluble fiber that can help firm up the stool.
Choice C reason: Low-fiber cereal is not a food that can cause diarrhea, as it is easy to digest and does not irritate the intestinal lining. It can also provide some energy and nutrients for the body.
Choice D reason: Prunes are a food that can cause diarrhea, as they are high in sorbitol, a sugar alcohol that can have a laxative effect and draw water into the colon. They also contain insoluble fiber, which can increase the bulk and speed of the stool.
Correct Answer is C
Explanation
Choice A reason: Encouraging the patient to wait for 24 hours before applying new knowledge is not an effective strategy to promote learning. It may cause the patient to forget or lose interest in the information. The RN should encourage the patient to apply new knowledge as soon as possible to reinforce learning and improve retention.
Choice B reason: Organizing the content from complex to simple is not an effective strategy to promote learning. It may confuse or overwhelm the patient with too much information at once. The RN should organize the content from simple to complex, starting with the most essential and relevant information and building on it gradually.
Choice C reason: Repeating the key concepts is an effective strategy to promote learning. It helps the patient to remember and recall the important information and clarify any misunderstandings. The RN should repeat the key concepts at the beginning, during, and at the end of the lesson.
Choice D reason: Asking the patient to hold questions until after the lesson is completed is not an effective strategy to promote learning. It may discourage the patient from asking questions or expressing concerns that may affect their learning. The RN should encourage the patient to ask questions at any time and provide feedback and answers.
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