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

Where does friction skin damage typically occur?

1. Underneath arm bands

2. On bony prominences like the elbows

3. Under restraints, blisters on heels, and surface damage on butt

4. On the forehead from excessive marbling

The correct answer is: Under restraints, blisters on heels, and surface damage on butt

Friction skin damage occurs primarily in areas of the body where skin is subjected to repeated friction or pressure, especially in conjunction with movement and moisture. The correct option identifies common sites for friction injuries, which include areas under restraints, blisters on heels, and surface damage on the buttocks. These locations are particularly vulnerable because they experience constant friction and pressure from movements, as well as possible traction from clothing or other materials. In contrast, while areas like underneath arm bands or on bony prominences can experience skin issues, these do not specifically highlight the classic presentation typically associated with friction injuries. For example, bony prominences are more often associated with pressure ulcers rather than friction damage. The forehead from excessive marbling is not commonly associated with friction skin damage; rather, it indicates a different skin condition or response that does not involve the mechanics of friction. Recognizing the areas most susceptible to friction damage is crucial for prevention and treatment strategies in clinical practice.