A nurse is teaching a student nurse how to cleanse theperineal area of both male and female patients. What areaccurate guidelines when performing this procedure? Selectall that apply.a. For male and female patients, wash the groin area with asmall amount of soap and water and rinse. b. For a female patient, spread the labia and move the wash-cloth from the anal area toward the pubic area. c. For male and female patients, always proceed from themost contaminated area to the least contaminated area.d. For male and female patients, use a clean portion of thewashcloth for each stroke. e. For a male patient, clean the tip of the penis first, mov-ing the washcloth in a circular motion from the meatus outward. f. In an uncircumcised male patient do not retract the fore-skin (prepuce) while washing the penis.

A nurse is teaching a student nurse how to cleanse theperineal area of both male and female patients. What areaccurate guidelines when performing this procedure? Selectall that apply.a. For male and female patients, wash the groin area with asmall amount of soap and water and rinse. b. For a female patient, spread the labia and move the wash-cloth from the anal area toward the pubic area. c. For male and female patients, always proceed from themost contaminated area to the least contaminated area.d. For male and female patients, use a clean portion of thewashcloth for each stroke. e. For a male patient, clean the tip of the penis first, mov-ing the washcloth in a circular motion from the meatus outward. f. In an uncircumcised male patient do not retract the fore-skin (prepuce) while washing the penis.

Essentials Health Info Management Principles/Practices

4th Edition

ISBN:9780357191651

Author:Bowie

Publisher:Bowie

Chapter5: Electronic Health Records

Section: Chapter Questions

Problem 10CR

See similar textbooks

Similar questions

A nurse is finished with patient care. How would the nurseremove PPE when leaving the room?a. Remove gown, goggles, mask, gloves, and exit the room.b. Remove gloves, perform hand hygiene, then remove gown,mask, and goggles.c. Untie gown waiststrings, remove gloves, goggles, gown,mask; perform hand hygiene.d. Remove goggles, mask, gloves, gown, and perform handhygiene.
Which actions would the nurse perform when using thetechnique of palpation during the physical assessment of apatient? Select all that apply.a. The nurse compares the patient’s bilateral body parts forsymmetry.b. The nurse takes a patient’s pulse.c. The nurse touches a patient’s skin to test for turgor.d. The nurse checks a patient’s lymph nodes for swelling.e. The nurse taps a patient’s body to check the organs.f. The nurse uses a stethoscope to listen to a patient’s heartsounds.
The nurse is arriving at the beginning of her shift and has taken report on four clients on medicalsurgical unit. Which client should the nurse see first?a. A client with pyelonephritis with nausea and vomiting.b. A client with chronic obstructive pulmonary disease with an oxygen saturation of 90% on roomair.c. A client post total abdominal hysterectomy with 9/10 abdominal paind. A client post-prostatectomy with bright red blood and clots in his catheter.
Answer the following? The Joint Commission issues guidelines regarding the use ofrestraints. In which case is a restraint properly used?a. The nurse positions a patient in a supine position prior toapplying wrist restraints.b. The nurse ensures that two fingers can be inserted betweenthe restraint and patient’s ankle.c. The nurse applies a cloth restraint to the left hand of apatient with an IV catheter in the right wrist.d. The nurse ties an elbow restraint to the raised side rail of apatient’s bed.
A nurse is performing hand hygiene after providing patientcare. The nurse’s hands are not visibly soiled. Which steps inthis procedure are performed correctly? Select all that apply. a. The nurse removes all jewelry including a platinum wed-ding band. b. The nurse washes hands to one inch above the wrists.c. The nurse uses approximately two teaspoons of liquid soap.d. The nurse keeps hands higher than elbows when placingunder faucet. e. The nurse uses friction motion when washing for at least15 seconds.f. The nurse rinses thoroughly with water flowing towardfingertips.
A nurse is caring for a 25-year-old male patient who is coma-tose following a head injury. The patient has several piercings in his ears and nose. The piercing in his nose appears to benew and is crusted and slightly inflamed. Which action wouldbe appropriate when caring for this patient’s piercings?a. Do not remove or wash the piercings without permissionfrom the patient.b. Rinse the sites with warm water and remove crusts with acotton swab.c. Wash the sites with alcohol and apply an antibioticointment.d. Remove the jewelry and allow the sites to heal over.
A patient who has a large abdominal wound suddenly callsout for help because she feels as though something is fallingout of her incision. Inspection reveals a gaping open woundwith tissue bulging outward. In which order should the nurseperform the following interventions? Arrange from first to last.a. Notify the physician immediately of the situation.b. Cover the exposed tissue with sterile towels moistenedwith sterile NSS.c. Place the patient in the low Fowler’s position.
A nurse is securing a patient’s endotracheal tube withtape and observes that the tube depth changed during theretaping. Which action would be appropriate related to thisincident?a. Instruct assistant to notify the primary care provider.b. Assess the patient’s vital signs.c. Remove the tape, adjust the depth to ordered depth andreapply the tape.d. No action is required as depth will adjust automatically.
A nurse is providing postmortem care. Which nursing actionviolates the standards of caring for the body after a patienthas been pronounced dead and is not scheduled for anautopsy?a. The nurse places the patient in a sitting position while thefamily visits.b. The nurse places identification tags on both the shroud andthe ankle.c. The nurse removes soiled dressings and tubes.d. The nurse makes sure a death certificate is issued andsigned.
A nurse is feeding a patient who is experiencing dysphagia.Which nursing intervention would the nurse initiate for thispatient?a. Feed the patient solids first and then liquids last.b. Place the head of the bed at a 30-degree angle duringfeeding.c. Puree all foods to a liquid consistency.d. Provide a thirty-minute rest period prior to mealtime.
The physician has ordered that a urine culture be taken on a client. Whatpriority information should the nurse know in order to complete thecollection of this specimen?a. Date and time of collection b. Method of collectionc. Whether the client is NPO (to have nothing by mouth)d. Age of client
Which action would be most important for a nurse to includein the plan of care for a patient who is 85 years old and haspresbycusis?a. Obtaining large-print written materialb. Speaking distinctly, using lower frequenciesc. Decreasing tactile stimulationd. Initiating a safety program to prevent falls