A nursing assistive personnel (NAP) is providing AM care to ...

[olgavictoria]

A nursing assistive personnel (NAP) is providing AM care to patients. Which action by the NAP will require the nurse to intervene?
 
  a. Not offering a backrub to a patient with fractured ribs
  b. Not offering to wash the hair of a patient with neck trauma
  c. Turning off the television while giving a backrub to the patient
  d. Turning patient's head with neck injury to side when giving oral care

Question 2

The female nurse is caring for a male patient who is uncircumcised but not ambulatory and has full function of all extremities. The nurse is providing the patient with a partial bed bath. How should perineal care be performed for this patient?
 
  a. Should be postponed because it may cause embarrassment
  b. Should be unnecessary because the patient is uncircumcised
  c. Should be done by the patient
  d. Should be done by the nurse

[macagnavarro]

Answer to Question 1

ANS: D
The nurse must intervene if the NAP turns the patient's head with a neck injury; this is contraindicated and must be stopped to prevent further injury. All the other actions are appropriate and do not need follow-up. Consult the medical record for any contraindications to a massage (e.g., fractured ribs, burns, and heart surgery). Before washing a patient's hair, determine that there are no contraindications to procedure (e.g., neck injury). When providing a backrub, enhance relaxation by reducing noise (turning off the television) and ensuring that the patient is comfortable.

Answer to Question 2

ANS: C
If a patient is able to perform perineal self-care, encourage this independence. Patients most in need of perineal care are those at greatest risk for acquiring an infection such as uncircumcised males; perineal care is necessary. Embarrassment should not cause the nurse to overlook the patient's hygiene needs. The nurse should provide this care only if the patient is unable to do so.