A nurse is caring for an infant who has diaper dermatitis. Which of the following actions should the nurse take?
A.
Apply a light layer of talcum powder with each diaper change.
B.
Change to cloth diapers until the skin is healed.
C.
Expose the excoriated area to hot air frequently.
D.
Use a moisturizer to wipe urine from the skin.
The correct answer and Explanation is :
The correct answer is D. Use a moisturizer to wipe urine from the skin.
Explanation:
Diaper dermatitis, commonly known as diaper rash, occurs due to prolonged exposure to moisture, irritants like urine and feces, friction, and sometimes, yeast infections. The skin in the diaper area becomes inflamed, leading to redness, discomfort, and, in more severe cases, blistering or peeling.
Using a moisturizer to wipe the skin helps protect it from further irritation caused by moisture and prevents the skin from drying out. Moisturizers or barrier creams (e.g., zinc oxide or petrolatum-based products) form a protective layer on the skin, creating a barrier against irritants. They help maintain skin integrity, reduce friction, and promote healing.
Here’s why the other options are inappropriate:
- A. Apply a light layer of talcum powder with each diaper change: Talcum powder is not recommended as it can be inhaled by the infant, posing a risk for respiratory issues. Furthermore, powders do not provide the same protective moisture barrier as creams or ointments.
- B. Change to cloth diapers until the skin is healed: While cloth diapers can be beneficial in some cases, they may not always prevent diaper dermatitis, especially if not changed frequently. Disposable diapers often wick moisture away from the skin more effectively than cloth, reducing the risk of further irritation.
- C. Expose the excoriated area to hot air frequently: While air exposure can help dry out moist skin, hot air is inappropriate. It can further irritate already sensitive skin and increase the risk of burns. Instead, allowing the area to air-dry naturally or using cool air is better for healing.
Proper care for diaper dermatitis includes frequent diaper changes, using barrier creams, and keeping the area dry and clean.