Vital Signs and Assessment · NCLEX Exam

A patient is incontinent of urine and has fragile skin. What nursing intervention helps prevent skin breakdown?

  1. Use coarse dry towels and rub vigorously to ensure the skin is thoroughly dried
  2. Change the incontinence pad only once per shift to limit disturbing the patient
  3. Clean skin after each episode, pat dry gently, apply moisture barrier cream
  4. Leave any minor redness alone and reassess only when it becomes an open sore
Show answer and explanation

Correct answer: Clean skin after each episode, pat dry gently, apply moisture barrier cream

Frequent gentle cleansing, drying and barrier cream protect skin integrity in incontinent patients.

Difficulty: Easy Question 13 of 28

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