The nurse is completing a plan of care for a client with chronic urinary incontinence. Which of the following outcomes is a priority?
A) The client will decrease fluid intake to 1000 mL/day.
B) The client will use the bathroom every 30 minutes while awake.
C) The client will maintain perineal skin integrity.
D) The client will express feelings of acceptance related to condition.
C
Feedback:
The nurse planning care would identify the priority outcome being to maintain skin integrity. Due to the urinary incontinence, perineal skin breakdown may occur due to the warm, moist environment. A skin barrier or moisture sealant is suggested. The nurse would not decrease fluid intake dramatically or use the bathroom every 30 minutes in a chronic condition. It is important to accept those things that cannot be controlled.
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