The nurse is completing a bed bath for a dependent adult male ...

[rachel9]

The nurse is completing a bed bath for a dependent adult male client. During the perineal care, the client has an erection. Which of the following actions should the nurse take?
 
  a. Continue with the perineal care.
  b. Tell the client it's okay and ask him to relax.
  c. Ask the client to try and do the care by himself as well as he can.
  d. Defer the perineal care until a little later in the bath.

Question 2

To be able to meet the needs of assigned clients and the responsibilities associated with the position, nurses must be aware of time-management techniques. Which of the following repre-sents a time-management skill for the nurse?
 
  a. Meeting all of the client's needs in the early morning hours
  b. Planning effectively and being aware of competing priorities
  c. Doing each of the client's assessments and treatments individually at separate times throughout the day
  d. Leaving each day unplanned to allow for adaptations in treatments

[cassie_ragen]

Answer to Question 1

D
If the client has an erection during perineal care, the nurse should defer the procedure until later.
The nurse should not continue with the perineal care at this time.
Telling the client it's okay may increase the client's embarrassment.
If the client is dependent in his care, the nurse should not ask the client to perform care he is un-able to do. The nurse should maintain a professional attitude.

Answer to Question 2

B
Time-management skills for nurses include reflecting on how they use their time, planning effec-tively, and being aware of competing priorities. Learning new technologies, juggling various priorities, and responding to multiple demands are issues nurses are required to respond to in a timely fashion.
Meeting all of the client's needs in the early morning hours would be an unrealistic goal. Some activities have specific time limits in terms of addressing client needs, and some activities follow scheduled routines according to hospital policy. The nurse may also have to work around changes in schedules, such as if the client had a test ordered for the morning. Therefore the nurse cannot expect to meet all of the client's needs at a specified time of day.
Time management involves using client goals as a way to identify priorities. The nurse, in re-viewing the care requirements, organizes his or her time so the activities of care and client goals can be achieved. The nurse should complete the activities started with one client before moving on to another.
Because the nurse has a limited amount of time with clients, it is essential to remain goal-oriented and make a plan for using time wisely.