A nurse is caring for a client who is incontinent of urine. Which of the following actions should the nurse take?
Explanation & Rationale
A. Rinse the client's skin with hot water: Hot water can damage the skin’s protective barrier, causing irritation and increasing the risk of breakdown. Using lukewarm water is safer and helps maintain skin integrity while cleansing the area. B. Keep the client’s skin area moist: Excess moisture from urine or feces contributes to maceration and increases the risk of skin breakdown. The skin should be kept clean and dry, not intentionally moist, to prevent irritation and pressure injury. C. Apply barrier cream to the client's cleansed skin: Barrier creams protect the skin from prolonged exposure to urine and stool, helping to prevent incontinence-associated dermatitis. Applying the cream after cleansing creates a protective layer, maintaining skin integrity and reducing irritation. D. Apply a thin layer of cornstarch to the client's skin: Cornstarch can clump when in contact with moisture and may promote fungal growth. It is not recommended for protecting skin from incontinence-related irritation and may worsen skin breakdown.