The nurse is caring for a 4-year-old girl with vulvovaginitis. ...

[crobinson2013]

The nurse is caring for a 4-year-old girl with vulvovaginitis. After explaining to the girl's mother how to help prevent subsequent episodes, which statement by the mother indicates a need for additional teaching?
 
  A) She needs to wipe from front to back..
  B) I will make sure she changes her underwear every day..
  C) She should probably avoid bubble baths..
  D) I will help supervise her wiping after bowel movements..

Question 2

The nurse is caring for an infant with bladder exstrophy. As part of the infant's preoperative plan of care, the nurse monitors for abdominal skin excoriation.
 
  Which action would be most appropriate for promoting healing and preventing further skin breakdown? A) Cleaning the area well with a scented diaper wipe
  B) Applying a barrier/healing cream or paste on skin
  C) Keeping the bladder moist and covered with a sterile bag
  D) Covering the area with sterile gauze pads after tub baths

[Galvarado142]

Answer to Question 1

A
Feedback:
At the age of 4, the mother should not assume that the girl will wipe properly. The mother will need to supervise her wiping in order to train her properly. Making sure the child changes her underwear daily, avoiding bubble baths, and supervising her wiping after bowel movements indicate that the mother has understood the instructions.

Answer to Question 2

B
Feedback:
The nurse should use a barrier/healing cream or paste on surrounding skin to promote healing and prevent further skin breakdown. Diaper wipes that contain fragrance or alcohol can sting if used on nonintact skin and can worsen skin breakdown. It is important to protect the bladder, but this will not address the skin excoriation. Meticulous attention to cleanliness is important, but the nurse should sponge-bathe the infant rather than immerse him in water to prevent pathogens from the water possibly entering the bladder.

[crobinson2013]

TYSM

[aliotak]

Excellent