Difficulty: Medium
Average Score: 69%
Simulated
A client who is mentally impaired is incontinent of stool. What is the nurse's best intervention to help prevent skin breakdown?
Correct answer
B
Rationale
The correct answer is B: Check the rectal area for soiling frequently. This is the best intervention because it allows the nurse to promptly identify any stool leakage and provide appropriate cleaning and skin care. By checking frequently, the nurse can prevent prolonged exposure to stool, which can lead to skin breakdown and irritation. Placing a pad under the buttocks (Choice A) may help absorb some stool, but it does not address the need for proper cleaning. Washing the buttocks with strong soap and water (Choice C) can be harsh on the skin and may cause further irritation. Placing the call bell within reach (Choice D) is important for communication but does not directly address the issue of preventing skin breakdown.