Question

A client is confined to bed due to a spinal cord injury. The client's plan of care identifies a nursing diagnosis of risk for impaired skin integrity related to immobility. Which of the following would be most appropriate for the nurse to do when providing skin care to this client?

a) Use light dusting of powder in skin folds
b) Limit complete bathing to twice a week
c) Avoid applications of lotions or creams to the client's skin
d) Apply alcohol-based solutions to skin areas, especially creases

Answer 1

For a client at risk for impaired skin integrity due to immobility, it's best to use light dusting of powder in skin folds to reduce moisture and friction.

Step-by-step explanation:

When providing skin care for a client who is confined to bed due to a spinal cord injury and has a nursing diagnosis of risk for impaired skin integrity related to immobility, it is important for the nurse to prevent bedsores or decubitus ulcers. These are caused by prolonged pressure on certain body parts and can lead to necrosis. Proper skin care includes turning the patient every few hours, maintaining proper hygiene, and moisturizing the skin. The most appropriate action would be:

• Use light dusting of powder in skin folds to absorb excess moisture and reduce friction.

Actions such as limiting complete bathing, avoiding the application of lotions or creams, and applying alcohol-based solutions can all negatively impact skin integrity and are not recommended.