The nurse is concerned that a client with bowel and bladder dysfunction is at risk for developing an infection. Which actions should the nurse take to help reduce this client's risk for developing an infection?

Question

Select all that apply.
A) Turn and reposition the client every 2 hours.
B) Monitor intake and output.
C) Provide hygienic care after episodes of incontinence.
D) Use standard precautions when handling linen after episodes of incontinence.
E) Cover wounds with antibiotic ointment and sterile gauze.

Answer 1

Answer: B, C, D

Turning and repositioning is an intervention to maintain tissue integrity. Monitoring for dehydration will help reduce the risk of developing an infection because of bowel and bladder dysfunction. Providing hygienic care after episodes of bowel or bladder incontinence will ensure that the skin remains intact, reducing the risk of infection. Using proper biohazard precautions after episodes of incontinence will reduce the risk of transmitting an infection. Covering wounds with antibiotic ointment and sterile gauze is an intervention to maintain tissue integrity.