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

To prevent intertriginous dermatitis, which intervention is recommended?

1. Applying occlusive dressings

2. Supporting air flow between skin folds

3. Using only petrolatum products

4. Avoiding moisture completely

The correct answer is: Supporting air flow between skin folds

Supporting air flow between skin folds is the recommended intervention to prevent intertriginous dermatitis. This condition often occurs in areas where skin rubs against skin, such as in the folds of the body. By promoting air circulation, moisture accumulation is minimized, which helps to reduce friction and the potential growth of bacteria or fungi that thrive in warm, moist environments. Ensuring that these areas are well-ventilated can significantly decrease the likelihood of developing irritation or infection. While applying occlusive dressings might seem beneficial in some contexts, they can actually trap moisture and exacerbate the problem in intertriginous areas. Using only petrolatum products may not sufficiently address the moisture issue, as it can create a barrier that prevents sweat evaporation and can still lead to irritation. Additionally, while avoiding moisture is ideal, it is not entirely possible in these areas due to sweating and natural body functions; thus, complete avoidance is impractical and could lead to other skin issues.