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

What is the primary focus when addressing peritubular breakdown?

1. Administer antibiotics

2. Correct the underlying cause

3. Apply topical steroids

4. Change the tube

The correct answer is: Correct the underlying cause

The primary focus when addressing peritubular breakdown is to correct the underlying cause. Peritubular breakdown refers to tissue damage or irritation that can occur around a tube, often due to factors such as friction, infection, or improper tube placement. Identifying and addressing the specific reason for this breakdown is essential for effective treatment and healing. By correcting the underlying cause, healthcare professionals can prevent further complications and promote the healing process. For example, if the breakdown is due to an infection, optimizing the patient's nutritional status or changing the tube's position may be necessary. In contrast, solely administering antibiotics or applying topical steroids might not address the root issue, and changing the tube could lead to additional trauma or complications without solving the fundamental problem. Therefore, focusing on the cause ensures a more comprehensive and effective management strategy.