Author Question: The adult client is incontinent and wears incontinence briefs when using the wheelchair. An ... (Read 29 times)

Sportsfan2111 · **on:** Jul 23, 2018

The adult client is incontinent and wears incontinence briefs when using the wheelchair. An irritated rash has developed in the perianal area. What care should the nurse provide?

1. Wash the area with soap and hot water at every brief change.
2. Apply a petroleum-based cream to the area after cleaning.
3. Wipe the skin with an alcohol-free barrier film agent after cleaning.
4. Keep the client in bed on absorbent pads until the area clears.

Question 2

The nurse is selecting dressings for a clean abdominal incision that will be allowed to heal by secondary intention. What principles should the nurse use in choosing this dressing?

1. Materials used in dressing this wound should keep the wound bed moist.
2. The dressing should allow good air circulation through the wound.
3. Dressings should be simple as they will be changed at least every 4 hours.
4. Absorbent material to wick exudates away and support drying should be used.

jrpg123456 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: Cleansing should be done with a mild cleansing agent and warm water.
Rationale 2: Petroleum-based creams are now thought to offer poor overall skin protection and to interfere with incontinence brief absorption.
Rationale 3: The care should include wiping the skin with an alcohol-free barrier film agent after cleaning.
Rationale 4: Keeping the client in bed to treat this area is not necessary and may lead to problems with immobility.

Answer to Question 2

Correct Answer: 1
Rationale 1: Wounds that are expected to heal by secondary intention heal by granulating in. In order to support the growth of granulation tissue, the wound bed should be kept moist and oxygen should be kept out of the wound.
Rationale 2: Air is drying to tissues and contains oxygen, so air circulation through the dressing is not desirable.
Rationale 3: The dressings will not be changed that often.
Rationale 4: Because the goal is to keep the wound bed moist, dressings should not wick exudates away.