Questions and Answers
Which intervention is appropriate when a 78-year-old patient who has just had a hip replacement requests a bedpan for a bowel movement?
How can the health care team member assist a postoperative patient who is reporting extreme difficulty defecating after being placed on the bedpan?
Which intervention is appropriate when the health care team member is preparing to place a bedpan underneath a patient who has had a hip replacement?
An older adult patient who cannot get out of bed reports diarrhea and perineal burning and irritation. Which intervention is the most appropriate to help prevent skin breakdown?
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To educate a female patient on appropriate perineal care, the health care team member should emphasize which technique?
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An 80-year-old patient with fragile skin asks to use the bedpan. Which intervention is appropriate to prevent skin tears for this patient?
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Study Notes
Bedpan Use in Postoperative Care
- A fracture bedpan is appropriate for patients with restricted movement, such as those who have had hip replacements. It has a lower profile, making placement easier.
- When assisting postoperative patients experiencing difficulty defecating, raising the head of the bed to a sitting position (30 to 60 degrees) aids in promoting defecation by preventing back hyperextension.
- For patients post-hip replacement, maintaining the abduction pillow between the knees is crucial to prevent dislocation during bedpan use.
Skin Care and Hygiene
- Keeping the perineal area clean is vital for preventing skin breakdown in patients with diarrhea; it minimizes exposure to irritants from liquid stools.
- Educating female patients on perineal care should emphasize wiping from front to back to avoid the transfer of bacteria from the rectal area to the urinary tract, which helps prevent urinary tract infections.
Additional Considerations
- The use of protective skin creams or medications for diarrhea can be considered if cleanliness alone does not reduce irritation, but it should not be the primary intervention.
- For elderly patients with fragile skin, interventions like carefully elevating bed components before bedpan placement can help minimize the risk of skin tears.
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Description
This quiz focuses on essential postoperative care techniques, particularly the use of bedpans and hygiene practices. It emphasizes the importance of maintaining cleanliness in patients with limited mobility and preventing complications such as urinary tract infections. Test your knowledge on effective skin care and hygiene protocols for postoperative patients.
