The nurse and nursing aid are providing perineal care for an ...

[bio_gurl]

The nurse and nursing aid are providing perineal care for an incontinent client. What information is important for the nurse to consider when providing perineal care?
 
  A) Apply moisture barriers to the skin of the perineal area.
  B) Provide excessive hydration to the skin of the perineal area.
  C) Wash the perineal area frequently with soap and water.
  D) Aggressively cleanse the perineal area with a washcloth or towel.

Question 2

The nurse assists the client to the bathroom sink to perform morning care. The nurse observes the client wash his face, arms, abdomen, and legs. The nurse washes the client's back and rectal area and applies soap to the back.
 
  The client brushes his teeth and ambulates to a chair in his room with assistance. How will the nurse describe the morning care on the client's chart?
 
  A) Partial care
  B) As-needed care
  C) Self-care
  D) Complete care

[bfulkerson77]

Answer to Question 1

Ans: A
Care to the perineal area for an incontinent client includes the use of moisture barriers, skin cleansers, and moisturizers and the avoidance of soap or friction. Measures should be followed to reduce overhydration because this will increase the risk for perineal damage and skin breakdown.

Answer to Question 2

Ans: A
Morning care is categorized as self-care, partial care, or complete care. Clients identified as partial care most often receive morning care at the bedside, or seated near the sink in the bathroom. They usually require assistance with body areas that are difficult to reach. Clients identified as self-care are capable of managing their personal hygiene independently once oriented to the bathroom. Clients identified as complete care require nursing assistance with all aspects of personal hygiene. In additional to scheduled care, the nurse will offer care as needed.

[bio_gurl]

TYSM

[amcvicar]

Excellent