A nurse is assisting a client to wash his face and hands. Which ...

[sc00by25]

A nurse is assisting a client to wash his face and hands. Which nursing consideration is
  indicated during the procedure?
 
  A) Always use soap to clean the face
  B) Do not rub soap on the hands
  C) Open the washcloth to wipe the face
  D) Allow the client to make a choice about using soap on the face

Question 2

A young woman who is sexually active asks the nurse about using the vaginal sponge as a method of contraception. Which of the following is accurate information the nurse would include in the teaching plan?
 
  A) The vaginal sponge is effective for a long as 36 hours following insertion.
  B) The vaginal sponge is more effective in women who have had babies.
  C) The vaginal sponge needs to be left in place for at least 12 hours after intercourse.
  D) The vaginal sponge must be removed within 30 hours of insertion.

Question 3

A nurse is required to apply a dressing to a shallow to moderate depth wound with minimal drainage. Which dressing should the nurse apply to this client?
 
  A) Wet to dry dressing
  B) Dry sterile dressing
  C) Wet to wet dressing
  D) Hydrocolloid dressing

[Ashley I]

Answer to Question 1

D

Answer to Question 2

D
Feedback:
The vaginal sponge is a barrier method made of a polyurethane foam and the spermicide nonoxynol-9, commercially called the Today Sponge. It is effective for as long as 24 hours. In a woman who has not had any children, it is between 84 and 91 effective. In a woman who has had children, the effectiveness rate decreases to 6880. It needs to remain in place at least 6 hours after intercourse, but be removed within 30 hours of insertion. There is a risk of toxic shock syndrome (TSS) if left in more than 30 hours.

Answer to Question 3

D
Feedback:
Hydrocolloid dressings are used in wounds of shallow to moderate depth with minimal drainage. Dry sterile dressings are used mostly for clean wounds, such as surgical incisions, that heal by primary intention. Wet to dry dressings are used for infected wounds healing by secondary intention. Wet to wet dressings are used on clean, open wounds or on granulating wounds.