Concept explainers
To discuss:
The response of the student nurse when Mrs. W asks what is the use of using chlorhexidine gluconate (CHG) wipes instead of soap.
Case summary:
Mrs. W is a 70-year-old female is diabetic patient and being admitted in the hospital for abdominal pain and change in bowel habits. After the postoperative after colon resection, Mrs. W is transferred from ICU to the surgical unit. Mrs. W feels weak after surgery and her mobility is limited due to her obesity and abdominal discomfort. She also has a history of hypertension, diabetes, and BMI of 40. She developed skin sores due to less ambulation and the doctor has ordered to start ambulation using the walker. Her granddaughter who studies nursing offered to help her when she is shifted to home, during her stay in the hospital, the student nurse gives her hygiene care.
Explanation of Solution
The student nurse explains that she is suffering from skin sores and she is also diabetic. Using the chlorhexidine gluconate wipes will prevent the infection of the germs and it also acts as antiseptic for the skin.
The wounds of the diabetic patient do not heal soon as normal persons, hence it gives rise to infections which can spread on skin and later it can gain assess into the bloodstream and cause complications.
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Chapter 40 Solutions
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