Difficulty: Medium
Average Score: 63%
Simulated
A nurse is caring for a client who has urinary incontinence. Which of the following actions should the nurse implement to prevent the development of skin breakdown?
Correct answer
B
Rationale
Correct Answer: B - Apply a moisture barrier ointment to the client's skin
Rationale: Applying a moisture barrier ointment creates a protective barrier on the skin, preventing irritation and breakdown from prolonged exposure to moisture. This is crucial in managing urinary incontinence to maintain skin integrity.
Summary of other choices:
A: Requesting a urinary catheter may increase the risk of infection and skin breakdown.
C: Cleaning with hot water can strip the skin of natural oils, leading to further skin irritation.
D: Checking the skin every 8 hours is important but not as effective as preventing breakdown with a moisture barrier ointment.
Rationale: Applying a moisture barrier ointment creates a protective barrier on the skin, preventing irritation and breakdown from prolonged exposure to moisture. This is crucial in managing urinary incontinence to maintain skin integrity.
Summary of other choices:
A: Requesting a urinary catheter may increase the risk of infection and skin breakdown.
C: Cleaning with hot water can strip the skin of natural oils, leading to further skin irritation.
D: Checking the skin every 8 hours is important but not as effective as preventing breakdown with a moisture barrier ointment.