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?

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

Use water with no soap to prevent skin irritation.

Don sterile gloves to prevent infection.

Discard the washcloth after cleansing the urethral meatus.

Answer and Explanation

The Correct Answer is D

The correct answer is choice d.

Choice A rationale:

Washing the penis from scrotum to tip using a spiral motion can trap bacteria under the foreskin and increase risk of infection.

Choice B rationale:

Soap helps remove dirt and bacteria, reducing infection risk. Soapy water is preferred over plain water for perineal care.

Choice C rationale:

While hand hygiene is crucial, sterile gloves are not typically required for routine perineal care in an SCI patient unless there's a break in the skin or a high risk of infection.

Choice D rationale:

Discarding the washcloth after cleansing the urethral meatus is essential to prevent transferring bacteria to other areas.

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Correct Answer is A

Explanation

Lethargy is an expected finding in a child with hypothyroidism. Hypothyroidism slows down the body's metabolism, leading to fatigue, weakness, and lethargy. Children with hypothyroidism may appear sluggish and have low energy levels.

A. "Your desire to be an organ donor must be documented in writing." B. "You must be at least 21 years of age to become an organ donor." C. "Your name cannot be removed once you are listed on the organ donor list." D. "I cannot be a witness for your consent to donate." .

Correct Answer is A

Explanation

Choice A rationale:

Documenting the desire to be an organ donor in writing is a legal requirement and ensures that the individual's wishes are respected after their passing. It also provides clear guidance to healthcare providers and family members about the individual's decision.

Choice B rationale:

There is no specific age requirement to become an organ donor. People of various ages can register as organ donors, and eligibility often depends on the condition of the organs at the time of death.

Choice C rationale:

Once someone is listed as an organ donor, their name can be removed if they change their mind. It's essential for individuals to inform their family members about their decision and ensure their wishes are respected.

Choice D rationale:

The nurse can indeed be a witness for the consent to donate. Being a witness ensures the authenticity of the individual's decision to become an organ donor and can be helpful in legal and ethical contexts.

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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?

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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?