The care plan for a baby with gastroenteritis includes a nursing diagnosis of "Impaired skin integrity related to irritation from frequent stools." Which of the following interventions by the nurse would be the best intervention?
a. Clean the diaper area with commercial baby wipes after each stool.
b. Keep the diaper area covered and avoid airing the diaper area.
c. Clean the diaper area with water and mild soap after each stool.
d. Do not use any diaper cream to coat the skin.
C
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A Incorrect: The best intervention by the nurse would not be to clean the diaper area with commercial baby wipes after each stool. Commercial baby wipes contain alcohol and may cause further irritation.
B Incorrect: The best intervention by the nurse would not be to keep the diaper area covered and avoid airing the diaper area. Leaving the diaper area open to air as often as possible promotes healing.
C Correct: The care plan for a baby with gastroenteritis includes a nursing diagnosis of "Impaired skin integrity related to irritation from frequent stools." The best intervention by the nurse would be to clean the diaper area with water and mild soap after each stool in order to remove diarrheal stool, which is acidic and very irritating to the perineum.
D Incorrect: The best intervention by the nurse would not be to avoid use any diaper cream to coat the skin. Instead applying creams and ointments provide a protective barrier from frequent stools.
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