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

What is the appropriate topical treatment for weeping monilial rash?

1. Antifungal barrier ointment

2. Fragrance lotions

3. Hydrocortisone cream

4. Plain water

The correct answer is: Antifungal barrier ointment

For a weeping monilial rash, the use of an antifungal barrier ointment is appropriate due to the nature of the rash, which is caused by an overgrowth of Candida, a type of yeast. The antifungal properties in the ointment directly target and inhibit the growth of this yeast, addressing the root cause of the rash. In addition, the barrier component of the ointment helps to protect the skin and prevent further irritation, particularly in areas that may be moist or exposed to friction. This is essential for promoting healing and preventing secondary infections. Other options, such as hydrocortisone cream, may reduce inflammation but do not specifically address the fungal infection. Fragrance lotions could irritate the area further and do not provide any therapeutic effect against the yeast. Using plain water is also not beneficial since it does not offer any antifungal properties or protective barrier needed for recovery. Therefore, choosing an antifungal barrier ointment provides the targeted treatment necessary for effective management of a weeping monilial rash.