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Author Question: The nurse should avoid soaking the feet of which patient population? (Select all that apply.) a. ... (Read 40 times)

abc

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The nurse should avoid soaking the feet of which patient population? (Select all that apply.)
 
  a. Patients with peripheral vascular disease
  b. Patients with a stroke
  c. Patients with diabetes
  d. Patients with arthritis

Question 2

Regarding perineal care, which nursing action is appropriate? (Select all that apply.)
 
  a. The nurse applies gloves prior to performing perineal care
  b. The nurse ignores the erection of a male patient during perineal care
  c. The nurse documents the perineal care.
  d. The nurse only completes perineal care with daily bathing



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micaelaswann

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Answer to Question 1

ANS: A, B, C
Soaking the feet of patients with peripheral vascular disease, cardiovascular disease such as strokes and diabetes are contraindicated because it may cause skin breakdown or infection. Patient with arthritis have no contraindications to having their feet soaked.

Answer to Question 2

ANS: A, B, C
The nurse uses standard precautions (gloves) whenever contact with body fluids is expected. A male patient may have an erection during care, which is a normal response with tactile stimulation. The care provider can ignore the erection and continue with the procedure or return later to complete the care, depending on the comfort level and the situation. Documentation is part of hygienic care. Note any redness, drainage, odor, edema, or skin changes. Perineal care is provided during a bath or shower but may be necessary more frequently, especially in incontinent patients.





 

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