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

Localized warmth is a classic sign of inﬂammation and can indicate the presence of an infection or injury in the aﬀected area. Sanguineous drainage is a type of wound drainage that consists of blood and is not a sign of inﬂammation. Palpable pedal pulses and full range of motion can provide information about the injury, but they are not specific to inﬂammation. Therefore, options b, c, and d are incorrect.

A. Use a moisturizer on your skin after cleaning. B. Rub your skin firmly when cleaning. C. Allow your skin to air dry after bathing. D. Wash your skin daily with hot water.

Correct Answer is A

Explanation

To maintain skin integrity and decrease the risk of infection, it is important to keep the skin clean and well lubricated1. Using a moisturizer on your skin after cleaning can help to maximize lipid barriers and prevent dryness2. It is also important to avoid hot water during bathing as it can increase dryness and cause cracked skin2.

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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 who was brought to the emergency department. Which of the following should the nurse identify as localized inﬂammation of the tissues?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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