Questions and Answers
Which statement by the nursing assistive personnel (NAP) requires the nurse's follow-up?
Which patient position should the nurse use for providing perineal care to a female patient on bed rest?
As the nurse is preparing to provide perineal care to a female patient, which action would be the priority?
How can the nurse promote infection control while providing perineal care for a female patient with a catheter?
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Which instruction would the nurse give to the nursing assistive personnel (NAP) to ensure safety while performing perineal care?
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Study Notes
Perineal Care for Female Patients
- Proper perineal care is essential for maintaining hygiene and preventing infections, especially in dependent or immobile patients.
- Use warm water and mild soap for cleansing the perineal area to minimize skin irritation; avoid hot, soapy water.
Delegating Care to Nursing Assistive Personnel (NAP)
- NAP should understand to ask for assistance when positioning a dependent patient; this is crucial due to safety concerns.
- Observing for signs of skin damage or discharge is important, and NAP should report any findings immediately.
- NAP should not use hot, soapy water due to the risk of skin irritation.
Patient Positioning During Perineal Care
- The correct position for a female patient on bed rest during perineal care is dorsal recumbent.
- Other positions such as supine, prone, or side-lying are not appropriate for this procedure.
Assessing Patient's Self-Care Ability
- Prioritize assessing a patient's ability to perform perineal care independently before providing supplies.
- Ensuring privacy is important but secondary to confirming the patient’s capability to care for themselves.
Infection Control Measures
- Cleansing the labia from the pubic area toward the rectum is essential to prevent the transfer of microorganisms from the rectum to the urethra and vagina.
- Avoiding tension on the catheter is important for device integrity, but does not directly relate to infection control.
Ensuring Safety for Nursing Assistive Personnel
- The safest practice for NAP during perineal care is to wear clean gloves to minimize the risk of contamination.
- Sterile gloves and isolation gowns are not required, and using hot water can be harmful to both the caregiver and the patient.
Key Practices
- Always document any complaints of irritation or pain from the patient.
- Provide NAP with clear instructions to ensure safety and infection control while performing perineal care.
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Description
This quiz focuses on the critical aspects of performing perineal care for female patients, particularly in a nursing context. It addresses the delegation of tasks and the necessary follow-up communication required for effective patient care. Test your knowledge on best practices and patient safety protocols.
