1. During Mrs. White's stay in the hospital, a student nurse prepares to provide perineal care. Mrs. White has a urinary catheter in place. The patient asks the student nurse why chlorhexidine gluconate (CHG) wipes are being used instead of soap and water. What is the response the student nurse should give Mrs. White? 2. Because the student nurse plans to use chlorhexidine gluconate (CHG) to bathe Mrs. White, list two assessments the student should conduct that are pertinent to using the antiseptic. 3. Given Mrs. White's current condition and medical history, which of the following hygiene activities pose the greatest risk for the patient? Why? 1. Shampoo 2. Eye care 3. Mouth care 4. Foot care
Perineal care is defined as the care and washing of perineum to prevent from infection, reduce microbial growth , to provide comfort, reduce burning and itching etc.
Answer 1..
The student nurse will explain that,
Cleaning perineum with chlorhexidine gluconate is most effective than soap and water as it is an antiseptic solution and also inhibit bacterial growth and reduces itching and burning sensation for a longer period of time,
As the patient is catheterised and she is unable to wash her perineum after every time passing urine , although it is not needed as patient is catheterised but certain leakage or due to lying on bed for a longer period can cause infection .washing with soap and water will give temporary relief from itching,irritation and infection but chlorohexchlo gluconate provides relief from itching and prevents from infection for a longer period of time also it doesn't allow furthur growth of microbes.
Answer 2.
Assessment done by student nurse with use of chlorhexidine gluconate bathe.
Chlorhexidine gluconate is a broad spectrum antiseptic which is effective for gram positive and gram negative bacteria,
1. It works by reducing microbial growth and enhances skin texture, the student will ensure that the skin infection and irritation will be controlled.
2. She will also asses reduction in infection by other means as it creates a barrier for microbes .
Student nurse will make sure that the skin of patient is not irritated due to application of chlorhexidine yand also she will ensure that it should be applied directly on irritated skin, wounds,surgical wound etc.
Answer 3.
Chlorohexidine gluconate doesn't have harmful effect on foot care and mouth care when used in controlled concentration,but it may damage cornea when it enters into the eyes, so it is not advised to wash eyes with chlorohexidine gluconate during eye care , it has positive effect on skin infection but has adverse effect on eyes, .
1. During Mrs. White's stay in the hospital, a student nurse prepares to provide perineal care....
unit-7 clinical practice Activity and Excercise Preparing for Clinical Practice Mrs. Smith has experienced some success in losing weight. She states, “I feel like I should have lost more weight by now.” However, she expresses concern about how to incorporate exercise into her daily routine to maintain weight and assist with future weight loss. 1. Mrs. Smith states, “It is hard for me to determine exactly how much exercise I get doing my usual activities.” She also expresses feelings of...
The nurse is preparing to provide catheter care to a female patient with an in dwelling urinary catheter. After performing proper hand hygiene and placing the patient in a comfortable position, which of the following actions should the nurse perform? a) cleanse length of catheter in circular motion b) expose the urethras meats and catheter site c) assess the urethral meats for inflammation or redness d) wash the perineal tissue with soap and water