A client recovering from acute illness has just received a tub bath. W

A client recovering from acute illness has just received a tub bath. When documenting the bath, what should the nurse include?

1. Client’s ability to maintain a conversation during the procedure
2. Client’s tolerance of the procedure
3. Condition and integrity of the skin
4. Client strength
5. Percentage of bath done without assistance

ANSWER

Correct Answer: 2, 3, 4, 5
Rationale 1: It is not necessary for the nurse to document if the client was maintaining a conversation during the bath.
Rationale 2: When evaluating the client’s bath, the nurse should include the client’s tolerance of the procedure.
Rationale 3: When evaluating the client’s bath, the nurse should include the condition and integrity of the client’s skin.
Rationale 4: When evaluating the client’s bath, the nurse should include the client’s strength.
Rationale 5: When evaluating the client’s bath, the nurse should include the percentage of the bath done without assistance.