Difficulty: Medium
Average Score: 74%
Simulated
A client is receiving rehabilitation for paralysis following a spinal cord injury and is diagnosed with reflex incontinence. Which of the following is the highest priority intervention the nurse should include in the plan of care?
Correct answer
B
Rationale
Providing regular perineal care to prevent skin breakdown is the highest priority to reduce the risk of infection and pressure ulcers due to reflex incontinence.