The nurse is caring for a critically ill client who develops incontinence of watery stools. What of the following actions is best for the nurse to take to prevent complications associated with ongoing incontinence?
A)Insert a rectal tube.
B)Use incontinence briefs.
C)Apply a perianal pouch.
D)Assist the client to a bedside commode at frequent intervals.

Question

Quizplus · Accepted Answer

Perianal pouching is an alternative in the management of fecal incontinence. Rectal tubes are avoided because of possible damage to the anal sphincter and ulceration of the rectal mucosa. Incontinence briefs may be helpful but, unless they are changed frequently, are likely to increase the risk for skin breakdown. A critically ill client will not be able to use the commode.

The Nurse Is Caring for a Critically Ill Client Who