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?

The correct answer is B: Provide regular perineal care to prevent skin breakdown. Reflex incontinence can lead to frequent and involuntary voiding, increasing the risk of skin breakdown. Regular perineal care helps maintain skin integrity and prevent complications. Limiting fluid intake (A) is not appropriate as it may lead to dehydration. Administering hypotonic IV fluids (C) is not related to managing reflex incontinence. Teaching Kegel exercises (D) is more suitable for stress incontinence, not reflex incontinence.