Place the steps of providing perineal-genital care for a female ...

[MGLQZ]

Place the steps of providing perineal-genital care for a female in the appropriate order
 
  Click on the down arrow for each response in the right column and select the correct choice from the list.
  Response 1. Apply gloves.
  Response 2. Wipe from the pubis to the rectum.
  Response 3. Place a towel under the client's hips.
  Response 4. Clean the labia minora.
  Response 5. Position and drape the client.

Question 2

The nurse is bathing a client with dementia who has been cooperating throughout the process. As the nurse prepares to bathe the client's genitalia, the female client starts screaming, No Don't touch me there Rape
 
  Which action by the nurse is the most appropriate?
  1. Stop and assess the cause of the distress.
  2. Explain that the client needs to be cleaned, but it will be done in a second.
  3. Proceed with the bath but finish quickly.
  4. Finish the bath without touching the genitalia.

[ong527]

Answer to Question 1

Correct Answer: 3,5,1,4,2

The nurse first places a towel under the client's hip to protect the bed. The female client should be positioned in a back-lying position with the knees flexed and spread well apart. Cover the body and legs with the bath blanket to minimize exposure. Apply gloves and clean the labia majora, then open the labia to clean the labia minora using separate quarters of the washcloth for each stroke. After cleaning the genitalia, wipe from the pubis to the rectum in order to avoid bringing bacteria from the rectum toward the urethra, which could result in a urinary tract infection.

Answer to Question 2

Correct Answer: 1

The nurse's best course of action is to stop and assess for the cause of the distress. The nurse can adjust the approach to reduce the client's anxiety. It would not be healthy to avoid washing the genitals, especially if the client has experienced incontinence or leakage, but even without these concerns, the genitalia must be cleaned regularly to avoid tissue damage. Proceeding with the bath while the client screams is not ideal; a better strategy would be to encourage the client to wash her own genitalia with some guidance or assistance.

[MGLQZ]

Excellent

[smrtceo]

TYSM