The nurse is planning care for an older patient to prevent skin breakdown. Which actions should be included in this patient's plan of care? (Select all that apply.)
a. Bathe daily with soap and water.
b. Examine skin for areas of breakdown or redness.
c. Remind to change positions on a regular schedule.
d. Apply alcohol-based solution to skin after bathing.
e. Ensure skin is cleansed after episodes of incontinence.
ANS: B, C, E
To prevent skin breakdown, the patient's skin should be examined for areas of breakdown or redness, remind the patient to change positions on a regular schedule, and ensure the skin is cleansed after episodes of incontinence. A. Soap and water should not be used to cleanse dry skin. D. Alcohol-based solutions or lotions should be avoided because they dry the skin.
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a. true b. false
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