A patient tells the nurse that she doesn't wash her hands very much because the skin on her hands is dry and cracked. Which of the following should the nurse instruct this patient?
1. Use a hand lotion with high fat or oil content to protect the skin.
2. Wash hands with cold water instead.
3. Wash hands with hot water instead.
4. Wash hands without soap.
Use a hand lotion with high fat or oil content to protect the skin.
Rationale: Hand washing can lead to dermatitis from the frequent contact with water and soap. The cracked, dry skin can lead to the avoidance of hand washing. The nurse should instruct the patient to use a moisturizer that contains fats and oils to increase skin hydration and provide a protective skin barrier. Tepid water, and not cold or hot water, should be used to help prevent hand dermatitis. Washing hands without soap is not recommended.
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