How can a nurse prevent skin breakdown in a client with urinary incontinence?

Applying moisture barrier ointment to the skin is an effective way to prevent skin breakdown in clients with urinary incontinence. This type of ointment creates a protective layer on the skin, which helps shield it from moisture and irritants that can lead to skin damage. This barrier minimizes direct contact between the skin and any potential sources of irritation, such as urine, which is essential in protecting sensitive skin from maceration and breakdown.

In contrast, simply changing the client's clothing frequently, while beneficial in maintaining hygiene, does not provide a protective layer that directly combats moisture exposure to the skin. The use of a heating pad is not appropriate, as it may cause skin irritation or burns and does not address the moisture issue. Encouraging the client to drink less fluid can lead to dehydration and does not address the incontinence problem, potentially worsening other health issues. Therefore, utilizing a moisture barrier ointment is a proactive and effective strategy for maintaining skin integrity in clients experiencing urinary incontinence.