Which of the following statements made by a nurse reflects the best un

Which of the following statements made by a nurse reflects the best understanding of the role of the bath in the nursing assessment process?

1. “I work with my ancillary staff to be able to determine what is abnormal.”
2. “The skin is easy to observe for abnormalities when you are giving the bath.”
3. “I use the time to really look at my clients and determine what’s normal and what’s not.”
4. “Bath time is an excellent time to get to know your clients and form that nurse-client relationship.”

ANSWER

ANS: 3
Take this time to identify abnormalities and initiate appropriate actions to prevent further injury to sensitive tissues. It also provides an opportunity to assess other systems (e.g., circulatory, res-piratory) and client behaviors as well. While the nurse is responsible for determining abnormali-ties, the ancillary staff should be instructed to report any suspicious factors they note. Answer 3 is the most thorough statement regarding the question.