The adult client is incontinent and wears incontinence briefs when using the wheelchair. An irritated rash has developed in the perianal area. What care should the nurse provide?
1. Wash the area with soap and hot water at every brief change.
2. Apply a petroleum-based cream to the area after cleaning.
3. Wipe the skin with an alcohol-free barrier film agent after cleaning.
4. Keep the client in bed on absorbent pads until the area clears.
Correct Answer: 3
Rationale 1: Cleansing should be done with a mild cleansing agent and warm water.
Rationale 2: Petroleum-based creams are now thought to offer poor overall skin protection and to interfere with incontinence brief absorption.
Rationale 3: The care should include wiping the skin with an alcohol-free barrier film agent after cleaning.
Rationale 4: Keeping the client in bed to treat this area is not necessary and may lead to problems with immobility.
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