Question

The nurse is caring for an infant with bladder exstrophy. As part of the nursing plan, the nurse monitors for abdominal skin excoriation. Which intervention would best promote healing and prevent further skin breakdown?

A) Cleaning the area well with a scented diaper wipe
B) Applying a barrier/healing cream or paste on the skin
C) Keeping the bladder moist and covering it with a sterile bag
D) Covering the area with sterile gauze pads after bathing

Answer 1

Applying a barrier/healing cream or paste on the skin is the best intervention to promote healing and prevent further skin breakdown in an infant with bladder exstrophy.

Step-by-step explanation:

When caring for an infant with bladder exstrophy and monitoring for abdominal skin excoriation, the best intervention to promote healing and prevent further skin breakdown would be to apply a barrier/healing cream or paste on the skin.

This creates a protective barrier between the skin and any irritants, helping to promote healing and prevent further damage. Cleaning the area with a scented diaper wipe may actually introduce more irritants to the skin, while keeping the bladder moist and covering it with a sterile bag or covering the area with sterile gauze pads after bathing will not directly address the skin excoriation.