A nurse is planning to perform perineal care for a female client. Which of the following actions should the nurse plan to take?

Allow the client’s perineum to air dry.

Start at the client’s rectum and clean to the client’s perineum.

Use the same section of washcloth for each area cleaned.

Use soap and water to clean the client’s perineum.

Answer and Explanation

The Correct Answer is D

When performing perineal care for a female client, the nurse should use soap and water to clean the client’s perineum. This helps to remove any urine or fecal mater and prevent skin irritation or infection. The nurse should also use a clean section of the washcloth for each area cleaned and should clean from front to back to prevent the spread of bacteria from the rectal area to the urethra.

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Correct Answer is A

Explanation

Orthostatic hypotension is defined as a decrease in blood pressure of 20 mm Hg or more systolic or 10 mm Hg or more diastolic within three minutes of standing from the supine position1. The first step in assessing a client for orthostatic hypotension is to check their blood pressure while they are lying down (supine position)

A. Turns oﬀ the faucet with their hands B. Holds their hands below the elbows while rinsing oﬀ soap C. Uses hot water to wash their hands D. Washes their hands for 10 seconds

Correct Answer is B

Explanation

According to the CDC, practicing hand hygiene is a simple yet eﬀective way to prevent infections in healthcare settings. Hand hygiene means cleaning your hands by washing with soap and water or using an alcohol-based hand sanitizer. When washing hands with soap and water, healthcare workers should wash their hands for at least 20 seconds1. Holding their hands below the elbows while rinsing oﬀ soap is a proper hand hygiene technique

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A nurse is planning to perform perineal care for a female client. Which of the following actions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client for orthostatic hypotension. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

A nurse is observing a newly licensed nurse perform hand hygiene. Which of the following actions by the newly licensed nurse indicates an understanding of the procedure?

Correct Answer is B

Explanation

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