An adult client who had a gastric bypass two days ago reports to the nurse of feeling bloated. After verifying that the client's abdomen is distended, which intervention should the nurse implement?

A. Rolling both gloves off at the same time is not recommended, as it increases the risk of contamination. Proper glove removal involves peeling off one glove at a time, turning it inside out to avoid contact with contaminated surfaces.

B. Using two pairs of gloves (double-gloving) may be necessary for certain high-risk procedures, but it is not required for routine bedpan handling. The focus should be on proper technique rather than adding extra gloves unnecessarily.

C. Advising the UAP that the technique being used will result in hand contamination is correct. Sliding fingers inside the contaminated glove and rolling it off inappropriately can transfer pathogens to the skin. The nurse should correct the technique by teaching the proper method: grasp the outside of one glove at the wrist, peel it off inside out, then tuck it into the remaining glove and peel off the second glove inside out. This minimizes the risk of self-contamination and infection transmission.

D. Discarding gloves in the appropriate container is important, but the primary concern here is the incorrect removal technique, which poses an immediate contamination risk. Teaching correct removal takes priority over simply reminding where to discard gloves.

A. Personality traits that were present earlier in life, such as compulsiveness or perfectionism, can become more pronounced in older adulthood due to normal aging processes, changes in cognition, or the stress of hospitalization. In this case, the client’s preoccupation with food likely reflects his lifelong habits and professional background as a chef, rather than a new pathological condition. Recognizing this helps the nurse respond with understanding and provide strategies that respect the client’s preferences.

B. While some cognitive decline is common with aging, assuming that the client has an organic brain disease such as Alzheimer’s disease based solely on obsessive behavior is inaccurate. Obsessive tendencies related to personality do not indicate inevitable neurodegenerative disease. Making this assumption could cause unnecessary alarm and misinform the family.

C. Advising the daughter to focus on happier times does not address the underlying behavior or provide practical guidance. It minimizes the client’s current needs and could be dismissive of the family’s concerns. Effective nursing communication should validate the family’s observations while explaining possible reasons for the client’s behavior.

D. Suggesting a social worker to help the family handle the client when he becomes annoying is not appropriate. The behavior is not inherently “annoying” or pathological; it reflects personality traits. The focus should be on understanding and accommodating the client’s lifelong habits rather than labeling them as problems requiring external intervention.