An incontinent elderly client frequently wets his bed and eventually develops redness and skin excoriation at the perianal area. The best care goal for this client is to:
  1. Make sure that the bed linen is always dry.
  2. Frequently check the bed for wetness and always keep it dry.
  3. Place a rubber sheet under the client’s buttocks.
  4. Keep the client clean and dry.
Explanation
Answer: D - Urinary incontinence is the loss of bladder control. The client is at risk for skin irritation, infection, and pressure ulcers. The best care goal is to keep the client clean and dry at all times. The other options are also nursing measures for persons with urinary incontinence, but the focus of care should be on the client and not on the linens and bed.
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