Answer to Question 1
Correct Answer: 3, 5
Rationale 1: Getting into and out of a shower might be too strenuous for a client prescribed bed rest with bathroom privileges.
Rationale 2: Getting into and out of a bathtub might be too strenuous for a client prescribed bed rest with bathroom privileges.
Rationale 3: Because the client is prescribed bed rest with bathroom privileges, the self-help bed bath would be appropriate because the client can independently wash with some help from the nurse.
Rationale 4: A therapeutic bath is for some physical effect and not used routinely for morning care.
Rationale 5: Because the client is prescribed bed rest with bathroom privileges, the partial bath would be appropriate because the client can independently wash with some help from the nurse to wash the back area.
Answer to Question 2
Correct Answer: 3
Rationale 1: Applying antiseptic spray would be applicable for areas of erythema but not for abrasions.
Rationale 2: Avoiding soap would be applicable for excessively dry skin.
Rationale 3: Because the client has abrasions over the back and upper buttock area, the nurse should lift and not pull or slide the client. The nurse needs to find assistance to help with the remainder of the bath.
Rationale 4: Applying alcohol-free lotion would be applicable for excessively dry skin but not for abrasions.
