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The nurse is caring for a patient with a history of incontinence and poor perineal hygiene...

The nurse is caring for a patient with a history of incontinence and poor perineal hygiene practices. The patient has had four urinary tract infections in the past year. Which is the priority goal for the nursing diagnosis of Ineffective therapeutic regimen management?

-Regular home care nursing visits and follow-up telephone contact will be arranged.

-The patient will allow family members to assist with daily bathing and perineal care.

-The patient will be provided with educational materials about risks of urosepsis.

-The patient will clearly state why she refuses to provide adequate care for herself.

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Answer #1

Ans)The patient will allow family members to assist with daily bathing and perineal care.

Explaination:

- Special skin care is a priority in caring for a client with a urinary diversion. Local irritation and skin breakdown occur when urine comes in contact with the skin for long period. Special clothing is not necessary for the client with a urinary diversion, but the client must wear a stomal pouch continuously because there is no sphincter control for regulation of urine flow. There is no need to plan for a reduction in activity.

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