What statement by the NAP requires follow-up when providing perineal care for a dependent female patient?

What statement by the NAP requires follow-up when providing perineal care for a dependent female patient?

• A. "I'll ask for assistance if I need help positioning her."
• B. "I'll see if she's up to the care right now."
• C. "I'll let you know if I notice any signs of redness or discharge."
• D. "I'll be sure to use hot, soapy water, since she has been incontinent."

Answer: (D)

The statement indicating the need for follow-up when providing perineal care for a dependent female patient is the one about using hot, soapy water because it highlights a potentially unsafe practice. Using hot water for cleansing can lead to skin irritation or burns, particularly in a sensitive area such as the perineum. Proper hygiene protocols require the use of lukewarm water to ensure the comfort and safety of the patient. Therefore, this response requires a follow-up to educate the individual on safe practices for perineal care, emphasizing the importance of temperature control to avoid harm. The other statements primarily express the individual’s intentions or awareness but don't inherently suggest unsafe practices. For instance, asking for assistance or assessing the patient's readiness demonstrates a responsible approach to care, while communicating about signs of redness or discharge indicates an appropriate vigilance regarding the patient's condition. However, the emphasis on using hot water clearly indicates a misunderstanding of the best practices in perineal care, which necessitates intervention and guidance.

The statement indicating the need for follow-up when providing perineal care for a dependent female patient is the one about using hot, soapy water because it highlights a potentially unsafe practice. Using hot water for cleansing can lead to skin irritation or burns, particularly in a sensitive area such as the perineum. Proper hygiene protocols require the use of lukewarm water to ensure the comfort and safety of the patient. Therefore, this response requires a follow-up to educate the individual on safe practices for perineal care, emphasizing the importance of temperature control to avoid harm.

The other statements primarily express the individual’s intentions or awareness but don't inherently suggest unsafe practices. For instance, asking for assistance or assessing the patient's readiness demonstrates a responsible approach to care, while communicating about signs of redness or discharge indicates an appropriate vigilance regarding the patient's condition. However, the emphasis on using hot water clearly indicates a misunderstanding of the best practices in perineal care, which necessitates intervention and guidance.