Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

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Prepare for the Wound, Ostomy and Continence Nurses Society Exam with quizzes, flashcards, and multiple-choice questions. Each question includes hints and explanations to help you get ready for your exam!

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How can MARSI risk be mitigated in infants and the elderly?

Use of alcohol-based removers
Avoiding all types of adhesives
Using silicone adhesive or hydrocolloid base
Only using tape without any alternatives

The correct answer is: Using silicone adhesive or hydrocolloid base

Using silicone adhesive or hydrocolloid bases is an effective strategy to mitigate the risk of Medical Adhesive-Related Skin Injury (MARSI) in infants and the elderly because these materials are designed to be gentle on the skin while still providing adequate adhesion. Silicone adhesives are particularly beneficial because they adhere well to the skin but are less likely to damage the epidermis upon removal. Hydrocolloid dressings also create a moist wound environment which can enhance healing while minimizing skin damage. Infants and the elderly have particularly fragile skin that can be more susceptible to injury from traditional adhesives, which may cause pain, discomfort, and complications like skin tears or allergic reactions. By opting for silicone adhesive or hydrocolloid-based products, caregivers can ensure that they maintain both the effectiveness of adhesion and the integrity of the skin. This option represents a balance between necessary adherence for medical purposes and the need to protect vulnerable skin, making it a best practice in clinical settings.