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    ATI Demsn 550 Fundamentals proctored Exam

    A nurse is caring for a client who is incontinent of bowel and bladder. Which of the following actions should the nurse take?

    Explanation & Rationale

    Choice A reason: Hot water can scald or irritate sensitive skin, especially in incontinent patients prone to breakdown. Warm water with mild soap is recommended to clean without causing thermal injury or exacerbating skin irritation. Choice B reason: Waiting for a bowel movement before hygiene increases the risk of skin breakdown and infection, as urine and feces can irritate skin. Regular cleaning after each incontinent episode is essential to maintain skin integrity. Choice C reason: Drying between skin folds prevents moisture accumulation, which fosters bacterial and fungal growth, leading to infections or dermatitis. Thorough drying after cleaning is critical for incontinent patients to protect skin and prevent complications. Choice D reason: Baby powder can clump in moist areas, creating an environment for bacterial growth and skin irritation. It is not recommended for incontinent patients, as it may worsen skin conditions rather than protect the skin.

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