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

How might dry skin present due to autonomic neuropathy?

1. Increased oiliness

2. Increased redness

3. Cracking

4. Excessive moisture

The correct answer is: Cracking

Dry skin resulting from autonomic neuropathy often manifests as cracking. Autonomic neuropathy can impair the body's ability to regulate moisture and maintain skin barrier functions. This leads to reduced sweat production and oil secretion, which are essential for keeping the skin hydrated. When the skin lacks moisture, it becomes dry and can develop fissures or cracks, especially in areas subject to frequent motion or pressure. In contrast, increased oiliness, redness, or excessive moisture would not typically be associated with autonomic neuropathy. Increased oiliness generally indicates overactive sebaceous glands, which is contrary to the condition seen with dry skin. Increased redness might indicate inflammation or an allergic response rather than a direct consequence of the reduced moisture typically associated with autonomic dysfunction. Excessive moisture is also not relevant since autonomic neuropathy often results in decreased moisture due to impaired functions rather than an excess.