Author Question: The nurse has completed foot care for a client as part of routine morning care. What should the ... (Read 41 times)

Pineappleeh · **on:** Jul 23, 2018

The nurse has completed foot care for a client as part of routine morning care. What should the nurse document about the procedure?

1. The condition of the skin and nails
2. Nothing unless a problem is noted
3. The amount of time taken on foot care
4. The client's comments about the foot care

Question 2

A client recovering from acute illness has just received a tub bath. When documenting the bath, the nurse should include:

1. Client's ability to maintain a conversation during the procedure
2. The client's tolerance of the procedure
3. Condition and integrity of the skin
4. Client strength
5. Percentage of bath done without assistance

miss.ashley · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale 1: The nurse does not need to document the condition of the skin and nails unless a problem is noted.
Rationale 2: Foot care is not generally recorded unless problems are noted.
Rationale 3: The nurse does not need to document the amount of time taken on foot care.
Rationale 4: The nurse does not need to document the client's comments about the foot care.

Answer to Question 2

Correct Answer: 2,3,4,5
Rationale 1: It is not necessary for the nurse to document if the client was maintaining a conversation during the bath.
Rationale 2: When evaluating the client's bath, the nurse should include the client's tolerance of the procedure.
Rationale 3: When evaluating the client's bath, the nurse should include the condition and integrity of the client's skin.
Rationale 4: When evaluating the client's bath, the nurse should include the client's strength.
Rationale 5: When evaluating the client's bath, the nurse should include the percentage of the bath done without assistance.