A nurse is caring for a male client who has a spinal cord injury. Which of the following techniques should the nurse use when providing perineal care?

Use water with no soap to prevent skin irritation.

Discard the washcloth after cleansing the urethral meatus.

Don sterile gloves to prevent infection.

Wash the penis from the scrotum to the tip using a spiral motion.

Answer and Explanation

The Correct Answer is B

A. While avoiding harsh soap is important, using water alone may not adequately clean the area.

B. After cleaning the urethral meatus, the nurse should discard the washcloth or use a different part of it to prevent the spread of bacteria.

C. Clean gloves are typically sufficient unless the procedure involves a sterile environment.

D. The penis should be cleaned from the tip to the base (proximal to distal) to reduce the risk of introducing bacteria.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Confusion is a key symptom of hypoglycemia due to the brain's lack of glucose.

B. Acetone breath is associated with diabetic ketoacidosis (DKA), a hyperglycemic state.

C. Polydipsia (increased thirst) is a sign of hyperglycemia, not hypoglycemia.

D. Hot, dry skin is a sign of hyperglycemia or dehydration.

A. Flumazenil B. Naloxone C. Acetylcysteine D. Protamine

Correct Answer is B

Explanation

A. Flumazenil is used for benzodiazepine overdose, not opioid overdose.

B. Naloxone is the antidote for opioid overdose and is indicated here due to the low respiratory rate and recent administration of hydromorphone.

C. Acetylcysteine is used for acetaminophen overdose, not opioids.

D. Protamine is used to reverse heparin, not opioids.

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A nurse is caring for a male client who has a spinal cord injury. Which of the following techniques should the nurse use when providing perineal care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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