An adult client is incontinent and wears incontinence briefs when using a wheelchair.An irritated rash has developed in the perianal area.What care should the nurse provide to reduce the risk of the development of skin maceration which may lead to a pressure ulcer?

A) Wash the area with soap and hot water at every brief change
B) Apply a petroleum-based cream to the area after cleaning
C) Wipe the skin with an alcohol-free barrier film agent after cleaning
D) Keep the client in bed on absorbent pads until the area clears

Question

Carmel Campos · Accepted Answer

Final Answer : C, Explanation :  Wiping the skin with an alcohol-free barrier film agent after cleaning can help protect the skin from further irritation and maintain a dry environment. Using soap and hot water can actually increase the risk of skin maceration, which can lead to pressure ulcers. Applying a petroleum-based cream may provide some temporary protection, but it can also trap moisture and worsen the rash. Keeping the client in bed on absorbent pads may not be a feasible solution for an active adult client.

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