The nurse working at a long-term care facility supervises while the unlicensed assistive personnel (UAP) bathes an older adult client. The nurse determines the UAP requires intervention when the UAP:
bathes the client using gentle patting motions.
places a large quantity of soap on the washcloth.
Inspects the feet while bathing the client.
tests the water temperature prior to helping the client into the tub.
The Correct Answer is B
A. Gentle patting (rather than vigorous rubbing) protects fragile, thinning skin in older adults and is appropriate.
B. Excessive soap can strip natural oils, leading to dryness, irritation, and potential skin breakdown in older adults; only a small amount of mild soap should be used.
C. Observing and reporting skin integrity (including the feet) is within the UAP’s role; detailed assessment or treatment remains the nurse’s responsibility, but inspection and reporting are appropriate.
D. Testing water temperature before assisting the client ensures safety and prevents burns, which is correct practice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Incontinence and infrequent changing of adult diapers increase the risk of altered skin integrity, such as skin breakdown or pressure ulcers, due to prolonged exposure to moisture and irritation.
B. The Answer seems incomplete ("risk") and does not specify the type of risk.
C. Activity intolerance is not directly related to incontinence or diaper use.
D. While falls risk is important in older adults, it is not the primary concern related to incontinence and diaper changing.
Correct Answer is B
Explanation
A. Using gentle patting motions is appropriate to protect fragile skin in older adults.
B. Using a large quantity of soap can dry and irritate the older adult’s skin; only a small amount of mild soap should be used.
C. Inspecting the feet is important for detecting issues like infections or pressure sores.
D. Testing water temperature ensures safety and prevents burns
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