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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Correct Answer is B

Explanation

A. Violating others' rights is more characteristic of antisocial personality disorder.

B. Self-centered behavior is a hallmark of histrionic personality disorder. Clients often seek attention, exhibit excessive emotionality, and display dramatic, exaggerated behaviors.

C. Callousness is also seen in antisocial personality disorder rather than histrionic.

D. Suspiciousness is typical of paranoid personality disorder, not histrionic.

A. "Ensure that the condom fits snugly over the tip of the penis." B. "When using implanted contraceptive methods, condoms should also be used to protect against STDs." C. "Condoms are equally effective for birth control with or without the use of vaginal spermicides." D. "Use of a petroleum-based lubricant with a condom increases the condom's effectiveness."

Correct Answer is B

Explanation

A. The condom should fit snugly but not just over the tip of the penis; it should cover the entire shaft.
B. Condoms provide protection against sexually transmitted diseases (STDs) and should be used in addition to implanted contraceptive methods (such as IUDs or implants) to prevent the spread of STDs. Implanted contraceptives do not offer STD protection.
C. Spermicides can increase condom effectiveness, but condoms are not equally effective with or without them. Their effectiveness varies.
D. Petroleum-based lubricants can degrade latex condoms and increase the risk of breakage, so water-based or silicone-based lubricants are recommended.

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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

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