Question

A cognitively impaired client is incontinent of loose stools. Which action should the nurse insolent to help the client prevent skin breakdown?

1. Wash the buttocks with strong soap and water
2. Bathe immediately after a bowel movement
3. Apply Talcum powder after the bath
4. Put a pad under the buttocks

Answer 1

To help prevent skin breakdown in a cognitively impaired client who is incontinent of loose stools, the nurse should avoid washing the buttocks with strong soap and water, bathe immediately after a bowel movement, apply a moisture barrier cream or ointment after bathing, and put a pad or absorbent underpad under the buttocks.

Step-by-step explanation:

To help prevent skin breakdown in a cognitively impaired client who is incontinent of loose stools, the nurse should take the following actions:

1. Do not wash the buttocks with strong soap and water as this can strip the skin of its natural oils and cause further irritation.
2. Bathe immediately after a bowel movement using mild, gentle soap and warm water to clean the skin and remove any stool residue.
3. Apply a moisture barrier cream or ointment after bathing to protect the skin and prevent moisture from irritating it.
4. Put a pad or absorbent underpad under the buttocks to absorb any stool and keep the skin dry.

These actions will help maintain skin integrity and prevent skin breakdown.