1. The nurse is providing perineal care to an uncircumcised male patient. Which
action will the nurse take?
a. Leave the foreskin alone because there is little chance of infection.
b. Retract the foreskin for cleansin
...
1. The nurse is providing perineal care to an uncircumcised male patient. Which
action will the nurse take?
a. Leave the foreskin alone because there is little chance of infection.
b. Retract the foreskin for cleansing and allow it to return on its own.
c. Retract the foreskin and return it to its natural position when done.
d. Leave the foreskin retracted.
ANS: C
Return the foreskin to its natural position. Keeping the foreskin retracted leads to
tightening of the foreskin around the shaft of the penis, causing local edema and
discomfort. The foreskin may not return to its natural position on its own. Patients
at greatest risk for infection are uncircumcised males.
2. Which instruction will the nurse provide to the nursing assistive personnel
when providing foot care for a patient with diabetes?
a. Do not place slippers on the patient’s feet.
b. Trim the patient’s toenails daily.
c. Report sores on the patient’s toes.
d. Check the brachial artery.
ANS: C
Report any changes that may indicate inflammation or injury to tissue. Do not
allow the diabetic patient to go barefoot; injury can lead to amputations. Clipping
toenails is not allowed. Patients with peripheral vascular disease or diabetes
mellitus often require nail care from a specialist to reduce the risk of infection.
When assessing the patient’s feet, the nurse palpates the dorsalis pedis of the foot,
not the brachial artery.
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