Asked by Laura Yolich on May 14, 2024
Verified
A nurse is providing AM care to patients. Which action will the nurse take?
A) Soaks feet of patient with peripheral vascular disease
B) Applies CHG solution to wash perineum of patient with a stroke
C) Cleanses eye from outer canthus to inner canthus of patient with diabetes
D) Uses long, firm stroke to wash legs of patient with blood-clotting disorder
Peripheral Vascular Disease
A circulatory condition characterized by narrowed blood vessels outside the heart and brain, often affecting the limbs.
CHG Solution
Chlorhexidine Gluconate solution, an antiseptic used for cleaning skin before surgery or injections to prevent infection.
Perineal
Relating to the perineum, the area between the anus and the genitals, often referenced in medical and health contexts.
- Recognize the correct procedures for performing patient hygiene tasks specific to various health conditions.
Verified Answer
FT
Felicia ToliverMay 14, 2024
Final Answer :
B
Explanation :
CHG is safe to use on the perineum and external mucosa. If patient has diabetes or peripheral vascular disease with impaired circulation and/or sensation, do not soak feet. Maceration of skin may predispose to infection. Do not use long, firm strokes to wash the lower extremities of patients with history of deep vein thrombosis or blood-clotting disorders. Use short, light strokes instead. Eye should be cleansed from the inner to outer canthus on all patients.
Learning Objectives
- Recognize the correct procedures for performing patient hygiene tasks specific to various health conditions.