Of the following patients, which are in need of perineal care? ...

[bcretired]

Of the following patients, which are in need of perineal care? (Select all that apply.)
 
  a. A patient with urinary and fecal incontinence
  b. A circumcised male who is ambulatory
  c. A patient with rectal and perineal surgical dressings
  d. A patient with an indwelling catheter
  e. A morbidly obese patient

Question 2

The patient has been forcefully blowing his nose and now has a nosebleed. The nurse is concerned about the patient's condition and assesses the patient for which possible negative issues? (Select all that apply.)
 
  a. Clearance of nasal passages
  b. Injury to the tympanic membrane (eardrum)
  c. Damage to nasal mucosa
  d. Eye injury
  e. Decreased nasal passage pressure

[milbourne11]

Answer to Question 1

ANS: A, C, D, E
Patients at greatest risk for skin breakdown in the perineal area are those with urinary or fecal incontinence, rectal and perineal surgical dressings, or indwelling urinary catheters, along with the morbidly obese. Circumcised males are not at high risk for acquiring infection, and ambulatory patients can usually provide self-perineal care.

Answer to Question 2

ANS: B, C, D
Caution the patient against harsh blowing that creates pressure capable of injuring the eardrum, nasal mucosa, and even sensitive eye structures. Clearing the nasal passages is the goal of nose blowing and is not a negative issue. Harsh blowing increases (not decreases) nasal passage pressure.

[bcretired]

Excellent

[lcapri7]

TYSM