The nurse is teaching a patient with a new ostomy about skin care to preserve tissue integrity. What teaching will the nurse provide about cleansing the ostomy area?

Use a whirlpool bath.

Use water and mild soap.

Use alcohol-based sanitizer.

Use chlorhexidine or HCG.

Answer and Explanation

The Correct Answer is B

The correct answer is choice B, Use water and mild soap.

When teaching a patient about ostomy care, the nurse should instruct the patient to clean the area around the ostomy with water and mild soap. Using a whirlpool bath, alcohol-based sanitizer, or chlorhexidine or HCG is not recommended as they can irritate the skin and damage the stoma. Cleansing the ostomy area with water and mild soap is the best way to maintain the skin's integrity and prevent irritation and infection.

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Correct Answer is C

Explanation

The correct answer is choice C, face. When beginning a complete bed bath, the nurse should first wash the client's face, followed by the arms, chest, abdomen, legs, perineal area, back, and then feet. Washing the face first is important to promote client comfort and hygiene, and also sets a positive tone for the rest of the bath. Additionally, washing the face before the perineal area helps to prevent cross-contamination of bacteria from the perineal area to the face.

A. The nurse should provide the visitor with details of how the patient is doing but direct the visitor to talk to the family about ways they can help. B. The nurse should state that the family does not need any help and tell the visitor to leave. C. The nurse should tell the visitor that they cannot share any information and ask the visitor to talk to the family directly. D. The nurse should invite the visitor into the home to learn the care techniques required by the client's condition.

Correct Answer is C

Explanation

The correct answer is choice C. The nurse should maintain HIPAA compliance by not sharing any patient information with a non-designated person, even if they identify as a family friend. The nurse should inform the visitor that they cannot share any patient information and suggest that they talk to the patient's family directly if they wish to offer assistance. It is important to protect patient privacy and confidentiality and to only share information with authorized individuals who have a legitimate need to know.

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The nurse is teaching a patient with a new ostomy about skin care to preserve tissue integrity. What teaching will the nurse provide about cleansing the ostomy area?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is beginning a complete bed bath for a client. After preparing the client by removing the client's gown and placing a bath blanket over him, which of the following areas should the nurse wash first?

Correct Answer is C

Explanation

A home care nurse is caring for a comatose patient who requires total care. A visitor stops by the house identifying as a family friend and inquires about the patient's condition and if there is anything they can do to help the family. How should the nurse respond to maintain HIPAA compliance?

Correct Answer is C

Explanation

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