A nurse evaluates the plan of care for an older adult client with urinary incontinence and early signs of skin irritation on the sacral area. Which of the following actions should the nurse recommend modifying first?

A. The client is turned every 3 hours during the night: Regular repositioning helps prevent pressure injuries and skin breakdown. Turning every 3 hours is appropriate and should be maintained. B. The client receives assistance with perineal care after each incontinence episode: Prompt perineal care is essential to reduce moisture, prevent skin irritation, and maintain skin integrity. This intervention should continue as planned. C. The client wears cotton adult briefs at all times: Continuous use of briefs, even if cotton, can trap moisture against the skin, worsening irritation and increasing the risk of pressure injuries. The nurse should modify this plan, recommending briefs be removed when not necessary and using barrier creams or pads to protect the skin. D. The client is encouraged to increase fluid intake: Adequate hydration helps maintain urinary health and prevents concentrated urine, which can irritate the skin. Encouraging fluid intake should remain part of the care plan.