A nurse is providing discharge teaching for a client who requires home oxygen therapy. Which of the following statements should the nurse identify as an indication that the client needs further teaching?

Choice A rationale:

Enclosing the dressing in a single clear plastic bag and discarding it in the bedside trash receptacle is not the appropriate method for disposing of a dressing saturated with blood and purulent drainage. Blood and purulent drainage are considered potentially infectious materials, and they should be handled as biohazardous waste to prevent the spread of infection.

Choice B rationale:

This is the correct choice. When dealing with potentially infectious materials such as blood and purulent drainage, it's essential to dispose of them in a biohazardous waste container. This specialized container is designed to contain potentially infectious materials and prevent their spread, thereby protecting both healthcare workers and the environment.

Choice C rationale:

Discarding the dressing in the bedside trash receptacle is not the recommended approach for disposing of materials that are contaminated with blood and purulent drainage. Simply discarding it in the regular trash increases the risk of infection transmission and is not compliant with proper infection control practices.

Choice D rationale:

Double-bagging the dressing in clear bags and labeling it "biohazard" is a good practice to ensure proper containment. However, it's not the most comprehensive method of disposal. Placing the dressing in a dedicated biohazardous waste container is a more secure and standardized method for disposing of potentially infectious materials.

Choice A rationale:

Applying a moisture barrier ointment helps protect the skin from the effects of moisture exposure due to urinary incontinence. Prolonged exposure to urine can lead to skin breakdown, irritation, and infection. A moisture barrier ointment creates a protective barrier, reducing the risk of skin damage.

Choice B rationale:

Requesting a prescription for an indwelling urinary catheter is not typically the first intervention to prevent skin breakdown in clients with urinary incontinence. Catheters carry their own set of risks, including infection, and should be considered after other interventions have been explored.

Choice C rationale:

Repositioning the client every 8 hours is important for preventing pressure ulcers but may not be sufficient to prevent skin breakdown due to urinary incontinence. Clients with urinary incontinence should be repositioned more frequently to address the effects of moisture.

Choice D rationale:

Checking the client's skin every 8 hours is an important step, but it alone may not effectively prevent skin breakdown. Incontinence-associated dermatitis can develop quickly, so it's essential to implement protective measures like using a moisture barrier ointment.