Which interventions would the nurse plan to address the nursing diagnosis Risk for Impaired Skin Integrity for a patient with hypothyroidism? Note: Credit will be given only if all correct choices and no incorrect choices are selected

Question

Select all that apply. 1. Wash daily with antibacterial soap.
2. Apply emollient skin lotion liberally at least twice daily.
3. Use astringent wipes to reduce itching.
4. Assess the need for an alternating air mattress daily.
5. Clean areas between skin folds with alcohol to prevent a yeast infection.

Answer 1

2,4
Rationale 1: Antibacterial soap is drying and should not be used.
Rationale 2: Liberal use of emollient skin lotion will help reduce drying.
Rationale 3: Astringents are drying and may increase itching.
Rationale 4: The patient may benefit from an alternating air mattress. The nurse should assess for this need on a regular basis.
Rationale 5: Alcohol should not be used on the skin of patients with hypothyroidism.