Author Question: A patient with dementia becomes belligerent when the nurse attempts to give him a tub bath. How ... (Read 37 times)

storky111 · **on:** Jul 23, 2018

A patient with dementia becomes belligerent when the nurse attempts to give him a tub bath. How should the nurse proceed?

a. Call for assistance to help the patient into the bathtub.
b. Wait for the patient to calm down, and then give him a towel bath.
c. Allow the patient to go without bathing for a day or two.
d. Ask another staff member to attempt the tub bath.

Question 2

The nurse is planning a breast examination class for a group of women at a community health fair. In planning the class, what is most important for the nurse to consider in preparation for her class?

a. Patients who perform breast self-examinations should be trained in proper technique to avoid false-negative findings.
b. Breast examinations should be performed yearly for all women over the age of 25 years.
c. Research indicates that breast examination and mammography are not needed after the age of 70 years.
d. A breast examination that includes assessment of the breast and axillae is indicated only if the patient is at high risk for breast cancer.

Edwyer · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Nurses need to individualize bathing to meet the needs of the patient. If the patient becomes belligerent, the nurse should wait until the patient calms down and then attempt a towel bath. Towel baths have been shown to reduce agitation significantly. The patient should not be forced into the tub. Having another staff member attempt the tub bath will most likely increase the patient's agitation, as consistency of caregivers is important for patients with dementia.

Answer to Question 2

A
Researchers agree that patients who perform breast self-examinations should be trained in proper technique to avoid false-negative findings. The majority of breast tumors are found in the tail of Spence, in the axillae. A breast exam therefore always includes an exam of the axillae. Breast exams should be done annually for women aged 40 and older, and every 1 to 3 years for women aged 20 to 39 . Annual or biennial mammograms most commonly begin after age 40 or at a younger age and more often for those at high risk. Controversy exists about whether women should continue to have mammograms after age 74 .