A nurse is teaching parents about prevention of diaper dermatitis. Which should the nurse include in the teaching plan? Select all that apply
a. Clean the diaper area gently after every diaper change with a mild soap.
b. Use a protective ointment to clean dry intact skin.
c. Use a steroid cream after each diaper change.
d. Use rubber or plastic pants over the diaper.
e. Wash cloth diapers in hot water with a mild soap and double rinse.
A, B, E
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Correct Prompt, gentle cleaning with water and mild soap (e.g., Dove, Neutrogena
Baby Soap) after each voiding or defecation rids the skin of ammonia and
other irritants and decreases the chance of skin breakdown and infection.
A bland, protective ointment (e.g., A&D, Balmex, Desitin, zinc oxide) can
be applied to clean, dry, intact skin to help prevent diaper rash. If cloth
diapers are laundered at home, the parents should wash them in hot water,
using a mild soap and double rinsing.
Incorrect Occlusion increases the risk of systemic absorption of a steroid; thus
steroid creams are rarely used for diaper dermatitis because the diaper
functions as an occlusive dressing. Rubber or plastic pants increase skin
breakdown by holding in moisture and should be used infrequently. A
steroid cream is not recommended.
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