A nurse is caring for a client who is incontinent.
Which of the following actions should the nurse take?
Clean the client's skin with hot water.
Dry between folds in the client's skin.
Apply baby powder to the client's skin.
Restrict the client's fluid intake.
The Correct Answer is B
Choice A rationale:
Clean the client's skin with hot water. Using hot water to clean a client's skin who is incontinent can be harmful. Hot water can damage the skin and exacerbate any existing skin issues. It is essential to use lukewarm water and gentle, pH-balanced cleansers to prevent skin irritation.
Choice B rationale:
Dry between folds in the client's skin. This is the correct answer. When caring for a client who is incontinent, it is crucial to ensure that the skin is kept clean and dry. Moisture between skin folds can lead to skin breakdown and the development of pressure ulcers. Drying the skin thoroughly helps prevent these issues.
Choice C rationale:
Apply baby powder to the client's skin. Applying baby powder is not recommended, as it can create a moist environment that may promote the growth of fungi and bacteria. It can also potentially lead to respiratory issues if the client inhales the powder. It's better to focus on keeping the skin clean and dry without using powder.
Choice D rationale:
Restrict the client's fluid intake. Restricting the client's fluid intake is not a suitable approach. Adequate hydration is essential for overall health and well-being. Dehydration can lead to various complications and negatively impact the client's overall health. Instead, focus on managing incontinence through appropriate hygiene and the use of incontinence products. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Self-awareness is a fundamental component of emotional intelligence. It involves recognizing and understanding one's own emotions, strengths, weaknesses, and values. This self-awareness enables individuals to manage their emotions effectively and develop healthy relationships.
Choice B rationale:
Self-esteem is related to self-worth and confidence but is not a core component of emotional intelligence. While having healthy self-esteem can contribute to emotional well-being, it is not a direct aspect of emotional intelligence.
Choice C rationale:
Role performance is not a primary component of emotional intelligence. Emotional intelligence focuses on one's ability to recognize, understand, and manage emotions in themselves and others, rather than on role-related behaviors.
Choice D rationale:
Body image is related to self-perception and body confidence but is not a core element of emotional intelligence. Emotional intelligence primarily deals with emotional awareness and management, social skills, and empathy.
Correct Answer is A
Explanation
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