A patient tells the nurse that she doesn't wash her hands very much because the skin on her hands is dry and cracked. What instruction should the nurse give this patient?
1. Wash the hands without soap.
2. Wash the hands with hot water.
3. Wash the hands with cold water.
4. Use a hand lotion with high fat or oil content to protect the skin.
4
Rationale 1: Washing the hands without soap is not recommended.
Rationale 2: Washing the hands with hot water can be more damaging to the skin. Tepid water is recommended.
Rationale 3: Tepid water is recommended.
Rationale 4: 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.
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