A patient has a slight skin breakdown in the perianal area from incontinent stools. For which combination of therapies should the nurse obtain an order?
a. Diapers and a moisture barrier ointment
b. Hydrogen peroxide and povidone-iodine
c. Fecal incontinence bag and a protective barrier paste
d. Alginate and transparent film dressings
C
Application of a fecal incontinence bag minimizes the amount of fecal matter that will touch the skin. Applying the protective barrier paste to the perineum and surrounding skin after each in-continent episode helps to heal the denuded skin and protect surrounding skin. Diapers keep moisture against the skin, and the moisture barrier ointment is used on intact skin only. Hydrogen peroxide can cause additional tissue damage on broken skin, and povidone-iodine has been found to be ineffective for wound care because it is associated with increased rates of infection. Alginate and transparent film dressings would not be appropriate. Alginate dressings absorb large amounts of exudate in heavily draining wounds, which is not the situation here, and the transparent film dressing would neither protect the skin area nor help it heal.
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