A nurse is caring for a client who has urinary incontinence. Which of the following actions should the nurse take?

Apply corn-starch to the client’s skin.

Allow the client’s skin to air-dry after cleaning.

Clean the client’s skin with a pH-balanced cleanser.

Use hot water to clean the client’s skin.

Answer and Explanation

The Correct Answer is C

Urinary incontinence can lead to skin irritation and breakdown if the skin is not properly cleaned 1. Using a pH-balanced cleanser can help maintain the skin’s natural acidity and prevent irritation.

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Correct Answer is B

Explanation

The nurse should include information about how bathing in warm water can help decrease stress levels. Warm water can help relax the muscles and promote a sense of calmness and relaxation, which can help reduce stress levels.

A. Check the client’s heart rate for 30 seconds. B. Palpate the client’s pulse at the third intercostal space. C. Ask the client to perform the Valsalva maneuver. D. Auscultate the client’s apical pulse.

Correct Answer is D

Explanation

When caring for a client who has an irregular heart rate, the nurse should auscultate the client’s apical pulse to accurately assess their heart rate1. An electrocardiogram (ECG or EKG) may also be used to measure the timing and duration of each electrical phase in the heartbeat

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A nurse is caring for a client who has urinary incontinence. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

A nurse is teaching a class about the eﬀects of bathing in warm water. Which of the following information should the nurse include?

Correct Answer is B

Explanation

A nurse is caring for a client who has an irregular heart rate. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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