Which patients will the nurse determine are in most need of regular perineal care? (Select all that apply.)
A patient who has an indwelling catheter
A patient with urinary and fecal incontinence
A patient with rectal and genital surgical dressings
A bariatric patient
A circumcised male who is ambulatory
Correct Answer : A,B,C,D
A. A patient with an indwelling catheter requires regular perineal care to prevent infection due to increased risk from the catheter.
B. Urinary and fecal incontinence increase the risk of skin breakdown and infection, necessitating frequent perineal care.
C. Surgical dressings in the rectal and genital areas require perineal care to maintain hygiene and prevent wound contamination.
D. Bariatric patients often need regular perineal care due to skin folds and increased risk of moisture-related skin breakdown.
E. A circumcised, ambulatory male typically has a lower risk of infection and may not require as frequent perineal care unless other factors are present.
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Correct Answer is D
Explanation
A. A 3-mL syringe is not appropriate for administering U-500 insulin, as the concentration may not allow for accurate dosing at such a small volume.
B. A U-100 syringe is designed for U-100 insulin and would not provide accurate measurement for U-500 insulin.
C. A needleless syringe may be useful in certain contexts, but it does not specifically provide the necessary precision for insulin dosage.
D. A tuberculin syringe is suitable for administering small doses (like 0.3 mL) and provides more accurate measurement for high-concentration insulin such as U-500.
Correct Answer is B
Explanation
A. Multipersonal connectedness involves relationships with multiple people, which is not the focus of the nurse-patient connection in spiritual care.
B. Transpersonal connectedness refers to a connection that goes beyond the physical and mental levels, fostering a deeper spiritual relationship between the nurse and the patient, often characterized by empathy and understanding.
C. Interpersonal connectedness describes the relationship between individuals, focusing on social and emotional interactions, but does not encompass the spiritual dimension.
D. Intrapersonal connectedness relates to an individual's self-awareness and inner thoughts, not the connection with another person in a spiritual context.