The nurse is explaining perineal care to the caregiver of a male client. Which information should the nurse include?
Dizziness can occur during cleansing.
The pubic area should be kept shaved.
The foreskin should not be retracted.
An erection may occur while providing care.
The Correct Answer is D
Choice A reason: Dizziness is not typically associated with perineal care and is not relevant to the instructions.
Choice B reason: Advising to keep the pubic area shaved is not a standard part of perineal care instructions and is a personal choice.
Choice C reason: The statement about not retracting the foreskin is incorrect; the foreskin should be retracted gently for cleaning and then returned to its normal position to prevent infection.
Choice D reason: It is important to inform the caregiver that an erection may occur as a natural reflex during perineal care, and it does not indicate any sexual intent. This helps prepare the caregiver to handle the situation professionally.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
The healthcare provider has prescribed 4,800 mg of magnesium hydroxide. The bottle indicates that each 5 mL contains 400 mg of magnesium hydroxide. We also know that 1 ounce (oz) is equivalent to 30 mL.
Step 1: The amount of magnesium hydroxide the patient needs is 4,800 mg.
Step 2: The concentration of the magnesium hydroxide solution is 400 mg per 5 mL. Step 3: Substitute the values into the formula: 4,800 mg ÷ (400 mg/5 mL).
Step 4: Calculate the volume in mL: 4,800 ÷ (400/5) = 60 mL.
Now, we need to convert this volume from mL to ounces.
Step 5: We know that 1 oz = 30 mL.
Step 6: Substitute the values into the formula: 60 mL ÷ 30 mL/oz.
Step 7: Calculate the volume in oz: 60 ÷ 30 = 2 oz.
Correct Answer is A
Explanation
Choice A reason: The presence of soft, formed, and light brown feces is normal and does not preclude testing for occult blood. The nurse should proceed with obtaining the specimen as ordered.
Choice B reason: There is no need to contact the healthcare provider before obtaining the specimen if the stool appears normal and the test for occult blood has been ordered.
Choice C reason: Waiting for observable blood is not necessary for an occult blood test, which is designed to detect blood that is not visible to the naked eye.
Choice D reason: Withholding specimen collection until tarry black stool is observed is not indicated. Tarry black stool can indicate bleeding in the upper gastrointestinal tract, but the test for occult blood is used to detect blood that may not be visible in the stool. Bolded text indicates the correct answers and important information.
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