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

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What is the primary focus of treatment when addressing MASD around a stoma?

Reduction of skin irritation
Infection management
Promotion of skin hydration
Enhancing stoma output

The correct answer is: Reduction of skin irritation

The primary focus of treatment for moisture-associated skin damage (MASD) around a stoma is reduction of skin irritation. This is essential because MASD can occur due to prolonged exposure to moisture from effluent, which irritates the skin, leading to inflammation and potential breakdown. Effective management includes strategies to minimize skin exposure to moisture, using protective barriers, and ensuring that any effluent is effectively contained to prevent ongoing irritation. Addressing skin irritation is crucial not just for comfort but also for preventing complications that can arise from damaged skin, such as infections or further deterioration of the area. While infection management, skin hydration, and enhancing stoma output are important considerations in overall stoma care, they are secondary to the immediate need for reducing further irritation and protecting the skin integrity around the stoma.