A nurse is providing perineal care to a client who has delivered ...

[Themember4]

A nurse is providing perineal care to a client who has delivered a baby. Which intervention should a nurse provide during perineal care?
 
  A) Place a towel under the client's hips.
  B) Use cotton balls moistened with cold water.
  C) Wipe the urethral area in a circular motion.
  D) Cleanse the area from back to front.

Question 2

A nurse is caring for a client who is a methamphetamine abuser. The nurse observes rapid eye movements and jerky body movements in the client. How should the nurse document this condition of the client?
 
  A) Formication
  B) Delirium
  C) Tweaking
  D) Hallucinosis

[morrie123456]

Answer to Question 1

A
Feedback:
A towel should be placed under the client's hips to protect the bed; it can be used to dry the client's perineal and rectal areas. The nurse should wipe the outside areas first, saving the last sponges for the urethral area, and cleanse the area from front to back, not back to front, with tissue or sponges to prevent contamination of the vaginal area and urinary meatus with microorganisms from the external labia and anus.

Answer to Question 2

C
Feedback:
The nurse should document the rapid eye and jerky body movements in the client as tweaking. It is caused by sleeplessness and acute withdrawal. Formication is the term used to describe the sensation of insects or snakes crawling on the skin caused by methamphetamine abuse. Symptoms of delirium, which include the presence of vivid and terrifying auditory, visual, and tactile hallucinations, are called hallucinosis.

[Themember4]

Excellent

[AmberC1996]

TYSM