Basic Nursing SkillsQuestion 94 of 200

After an incontinent episode, the CNA should:

a.Cleanse the skin with a deodorant soap and hot water, then rub it dry with a towel
b.Leave the resident in the soiled brief until the end of rounds, then cleanse the skin, apply barrier cream, and change the linens all at one time before the end of the shift
c.Promptly cleanse skin with pH-balanced perineal cleanser, pat dry, apply barrier cream as ordered, change linens, position to relieve pressure, and document
d.Apply baby powder to the skin folds to absorb the moisture, then re-brief the resident

Explanation

Prompt incontinence-associated dermatitis (IAD) prevention: cleanse with pH-balanced perineal cleanser (not harsh soap that strips skin), pat dry (no friction), apply barrier cream/zinc ointment as ordered, change linens, reposition. Leaving in soiled brief (b) causes IAD, pressure injury, and is neglect. Harsh soap (a) damages skin barrier; baby powder (d) cakes in skin folds, harbors bacteria, and is inhalation hazard. Document time, amount, and characteristics.

Law Reference: Fundamentals; incontinence care

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