A patient is nonEnglish speaking and unable to answer questions. ...

[ghost!]

A patient is nonEnglish speaking and unable to answer questions. When preparing to bathe this patient the nurse needs to remember which of the following?
 
  a. Use soaps which contain deodorant to help control body odor.
  b. Cultural heritage influences hygiene practices.
  c. Shave facial hair to make the patient more presentable.
  d. Diaphoresis will prevent skin breakdown and infection, so the patient should only be bathed once a day.

Question 2

A nurse is evaluating care for a patient. Which action should the nurse take?
 
  a. Compares patient findings with the goals and outcomes
  b. Determines if interventions were completed
  c. Develops a nursing diagnosis
  d. Writes a care plan

[Missbam101]

Answer to Question 1

B
A patient's cultural beliefs and personal values influence hygiene care. Maintaining cleanliness may not have the same importance for some ethnic groups as it does for others. In some cultures, it is customary to completely bathe only once a week. Never shave facial hair or hair without the patient's permission. Use only mild cleansers; avoid deodorant bars, perfumed soaps, and any products with alcohol. Clean the skin at the time of any soiling and at routine intervals. Problems such as incontinence, wound drainage, or excessive diaphoresis require more frequent cleansing to promote comfort and prevent skin breakdown and infection.

Answer to Question 2

A
During evaluation you compare your findings with the goals and expected outcomes set for your patient. You conduct an evaluation to determine if expected outcomes are met, not if nursing interventions were completed. Develops a nursing diagnosis is the second step of the nursing process (diagnosis), not the last (evaluation). Writes a care plan occurs in the planning phase.

[ghost!]

Gracias!

[upturnedfurball]

Excellent