34. A client is scheduled for a bilateral herniorrhaphy. Teaching about preparation of the skin before surgery should include:
34. A client is scheduled for a bilateral herniorrhaphy. Teaching about preparation of the skin before surgery should include:
. The need to shave the skin from nipple level to groin.
. Shaving or clipping depends on the amount of body hair.
. Just the area around the umbilicus will be shaved.
. Shaving will be done by the client at home.
Test-Taking Tip
Choose an option that minimizes the potential for skin cuts or abrasions that could lead to infection.
Content Area: Adult Health, Integumentary; Integrated Process: Nursing Process, Planning; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Therapeutic Procedures
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Answer 1 is incorrect because the torso is no longer shaved. Only the areas where incisions will be made may be shaved to avoid potential skin cuts or abrasions. Answer 2 is correct because skin preparation for a hernia repair may include the client scrubbing with an antispetic sponge (Hibiclens) for several days before surgery. Hair removal is usually done in the operating room (OR), and whether clipped or shaved depends on the amount of hair. Answer 3 is incorrect because the area shaved will depend on the surgical approach. The umbilicus may be shaved by the client at home plus shaving or clipping in the OR. Answer 4 is incorrect because shaving or clipping in the groin will be done in the OR. The client may be asked to remove excess hair from the umbilicus.