A nurse is reinforcing teaching with a client who is 12 hr postpartum and has an episiotomy.
Which of the following instructions should the nurse include?
Cleanse the perineal area from back to front.
Wash the perineal area with povidone-iodine twice daily.
Change the perineal pad with each void.
Wipe the perineal area with a soft towel.
Wipe the perineal area with a soft towel.
The Correct Answer is C
A. Cleansing the perineal area from back to front can introduce bacteria from the rectum to the urinary tract, increasing the risk of infection. Front to back is the recommended direction for cleansing.
B. Washing the perineal area with povidone-iodine twice daily may be too frequent and could potentially irritate the area. Gentle cleansing with warm water is typically recommended.
C. Changing the perineal pad with each void helps to maintain cleanliness and prevent infection by reducing the buildup of moisture and bacteria.
D. Wiping the perineal area with a soft towel is appropriate for gentle cleansing but does not address the importance of changing the perineal pad regularly.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. An oral imaging device is not typically needed for the care of a client with bacterial meningitis. This device is used for examining the oral cavity and throat and is not specific to the care of meningitis.
B. Seizure pads should be placed in the client's room because bacterial meningitis can lead to seizures as a complication. Seizure pads are placed under the client during a seizure to protect them from injury due to falls or thrashing movements.
C. Sterile gloves may be necessary for certain procedures or when providing direct care to the client with bacterial meningitis, but they are not specific to the care of this condition. They should be readily available in the room for use as needed.
D. A tongue blade is not necessary for the care of a client with bacterial meningitis. Tongue blades are used for oral examination and to depress the tongue during certain medical procedures, but they are not specific to the care of meningitis.
Correct Answer is A
Explanation
A. This is the correct answer. Seizures lasting longer than 5 minutes can be indicative of status epilepticus, a medical emergency requiring immediate intervention.
B. Restraint during a seizure can cause injury to the child and is not recommended. Instead, it's important to ensure the child's safety by removing nearby objects and gently guiding them to the floor if possible.
C. Offering a bubble bath every evening is not relevant to seizure care and does not contribute to the child's safety or well-being.
D. Placing the child in a prone position during a seizure can obstruct the airway and increase the risk of aspiration. The child should be placed in a lateral recumbent position to maintain an open airway and prevent injury.
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