A nurse is assisting a client who had a lower extremity amputation with a bath. Which of the following actions should the nurse take?
Instruct the client to stay in the bathtub no longer than 20 min.
Fill the bathtub with water at 48 C (118.4° F).
Use bath oil in the client’s bathtub
Provide the client with non-slip bath strips in the bathtub.
The Correct Answer is D
A. The duration of time in the bathtub should be based on the client's tolerance but should not exceed 20 minutes.
B. Water temperature should be warm but not excessively hot to avoid burns or discomfort.
C. Bath oils can make the bathtub slippery and increase the risk of falls. They should be avoided.
D. Providing non-slip bath strips enhances safety and helps prevent the client from slipping in the bathtub.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This is because using the same sponge repeatedly can introduce bacteria and other contaminants to the surgical site, increasing the risk of infection.
B. Cleansing the surgical site with a povidone-iodine solution is not recommended because it can cause skin irritation and allergic reactions. The nurse should use a chlorhexidine-based antiseptic solution instead, which is more effective and less toxic.
C. Shaving the client's hair near the surgical site is generally avoided, as it can increase the risk of infection. Hair removal, if needed, is often done with clippers.
D. The surgical site should be scrubbed starting at the center and moving outwards in a circular motion.
Correct Answer is D
Explanation
A. Deals with ear, nose, and throat issues but may not be the primary provider for temporomandibular joint (TMJ) disorders.
B. Can be involved in the management of TMJ disorders, but the primary provider for initial assessment and diagnosis would likely be a dentist.
C. While they may be involved in the rehabilitation process, the dentist is typically the primary provider for TMJ issues.
D. Specializes in oral health and would be the appropriate provider to assess and manage TMJ disorders.
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