NCLEX-PN - Med surgical Questions and Answers 100% Pass

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A client with cirrhosis is being discharged home, with family members to provide the majority of the client's care. Which instructions are important to reinforce with the family regarding this clien... t's care? (Select all that apply.) a. Maintain a low-fiber diet. b. Use a safety razor to shave the client. c. Avoid soap when bathing the client. d. Use a soft toothbrush and gentle oral care. e. Apply moisturizing lotion and turn the client frequently. ✔✔c. Avoid soap when bathing the client. d. Use a soft toothbrush and gentle oral care. e. Apply moisturizing lotion and turn the client frequently. Rationale: A client with cirrhosis often has dry itchy skin. Soap can dry and irritate the skin further. To prevent skin breakdown, the skin should be kept moist and the client turned frequently. With cirrhosis, the liver is not able to produce some clotting factors, so bleeding prevention is a priority. The family should be instructed to use electric razors, not a safety razor, and to use a soft toothbrush when providing gentle oral care. The practical nurse (PN) is reinforcing colostomy care teaching to a client who is 3 days following placement of their colostomy. The client asked the PN why is it necessary to measure the colostomy's stoma each time when changing into a new appliance/wafer. What is the best response by the PN? a. Reassure the client that he will become accustomed to the stoma appearance in time. b. Inform the clie [Show More]

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