A client who is mentally impaired is incontinent of stool. What is the nurse's best intervention to help prevent skin breakdown?

A) Place a pad under the buttocks: While this can help absorb moisture, it does not directly prevent skin breakdown from fecal contact. Pads may provide some protection but are not a comprehensive solution. B) Check the rectal area for soiling frequently: This is the best intervention to help prevent skin breakdown. Regular checks allow for prompt cleaning and care of the area, minimizing the risk of irritation and pressure injuries associated with stool incontinence. C) Wash the buttocks with strong soap and water: Using strong soap may irritate the skin and is not recommended. Gentle cleansing with mild soap is preferred, but this action alone does not address the need for frequent monitoring and prompt care. D) Place the call bell in reach: While this encourages the client to call for assistance when needed, it does not actively prevent skin breakdown from stool incontinence. Prompt attention to soiling is more effective in protecting the skin.