Mrs. Hortin is a 104-year-old patient who resides in a nursing ...

[penguins]

Mrs. Hortin is a 104-year-old patient who resides in a nursing home. Recently Mrs. Hortin was ill with a respiratory infection. During her illness, she became incontinent of both urine and stool.
 
  The nursing staff used a special cleanser on her perineum, put a moisture barrier on the exposed area, and placed absorbent briefs on her to prevent her skin from becoming soft because of the moisture. What was the staff trying to prevent? A. Maceration
  B. Dehiscence
  C. Cachexia
  D. Induration

Question 2

A patient is admitted from the emergency department. The nurse notices that the patient and family are anxious. During the admission process the nurse should do which of the following? Select all that apply.
 
  A. Stereotype the patient concerning his or her admission diagnosis.
  B. Disregard racial differences in the physical qualities of the patient.
  C. Provide a thorough explanation of the purpose of each assessment.
  D. Provide a thorough explanation of the steps of each assessment.
  E. Continue to ask questions, even if the interview obviously makes the patient and family members uncomfortable.

[swimkari]

Answer to Question 1

A
For a patient who is incontinent of stool or urine, use a specialized incontinence cleanser. To protect the skin you apply a moisture-barrier product (generally petrolatum or dimethicone based) liberally to the exposed area. Select underpads, diapers, or briefs that are absorbent to wick incontinence moisture away from the skin versus trapping the moisture against the skin, which causes maceration (softening of the skin due to moisture).

Answer to Question 2

C, D
Remember that patients will have cultural differences. Nurses must be culturally aware and avoid stereotyping on the basis of gender and race. However, it is very important for nurses to recognize common disorders for ethnic populations.

[penguins]

Thanks

[swimkari]

Welcome