Which patients will the nurse determine are in most need of regular perineal care? (Select all that apply.)

A patient who has an indwelling catheter

A patient with urinary and fecal incontinence

A patient with rectal and genital surgical dressings

A bariatric patient

A circumcised male who is ambulatory

Answer and Explanation

Correct Answer : A,B,C,D

A. A patient with an indwelling catheter requires regular perineal care to prevent infection due to increased risk from the catheter.
B. Urinary and fecal incontinence increase the risk of skin breakdown and infection, necessitating frequent perineal care.
C. Surgical dressings in the rectal and genital areas require perineal care to maintain hygiene and prevent wound contamination.
D. Bariatric patients often need regular perineal care due to skin folds and increased risk of moisture-related skin breakdown.
E. A circumcised, ambulatory male typically has a lower risk of infection and may not require as frequent perineal care unless other factors are present.

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Correct Answer is A

Explanation

A. Compassion fatigue is characterized by burnout and secondary traumatic stress, which result from prolonged exposure to caring for patients in distress and trauma, leading to emotional exhaustion.
B. Lateral violence and intrapersonal conflict involve hostile behavior and internal personal issues, which do not define compassion fatigue.
C. While physical and mental exhaustion can occur with compassion fatigue, they are not the defining aspects without the context of prolonged trauma exposure.
D. Short-term grief and a single stressor do not capture the chronic nature of compassion fatigue, which builds over repeated exposure to others' suffering.

A. Patient will have one soft, formed bowel movement by end of shift. B. Patient will not take any pain medications this shift. C. Patient will walk unassisted to bathroom by the end of shift. D. Patient will be offered laxatives or stool softeners this shift.

Correct Answer is A

Explanation

A. This outcome is specific, measurable, and directly addresses the goal of managing constipation by aiming for a bowel movement.
B. Discontinuing pain medication abruptly may be unrealistic and can cause distress for the patient.
C. Ambulation may help with constipation but does not directly measure or ensure bowel movement.
D. Offering laxatives or stool softeners is an intervention rather than a measurable patient outcome.

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Which patients will the nurse determine are in most need of regular perineal care? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse has compassion fatigue. What is the nurse experiencing?

Correct Answer is A

Explanation

A nurse is caring for a patient with a nursing diagnosis of Constipation related to slowed gastrointestinal motility secondary to pain medications. Which outcome is most appropriate for the nurse to include in the plan of care?

Correct Answer is A

Explanation

A patient's heart rate increased from 94 to 164 beats/min. What will the nurse expect as a result?

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