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

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Which method can be effective in managing moisture-associated skin damage during dressing changes?

  1. Using moisturizing lotion

  2. Gentle removal of soiled layers

  3. Avoiding any cleaning products

  4. Immediate replacement of all dressings

The correct answer is: Gentle removal of soiled layers

Managing moisture-associated skin damage is crucial for promoting skin integrity, especially during dressing changes. The method of gentle removal of soiled layers is effective because it minimizes further friction and trauma to the already compromised skin. When soiled dressings are removed harshly or too quickly, it can exacerbate irritation and tissue damage, leading to increased pain and potential infection. In addition, applying a gentle approach can help preserve the underlying skin's health and reduce overall discomfort for the patient. This technique focuses on maintaining skin integrity while ensuring that soiled materials are effectively cleaned away to prevent prolonged exposure to moisture and further skin damage. Using a moisturizing lotion is beneficial for skin hydration but does not directly address the risk of damage during the dressing change itself. Avoiding any cleaning products may leave the skin unclean, while immediate replacement of all dressings could lead to unnecessary disturbances to the skin, especially if moisture is still present. Gentle removal balances the need for cleanliness with the need to protect and preserve skin condition during the procedure.