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

How should diaper dermatitis be treated?

1. Use of alcohol-based creams

2. Higher pH and zinc oxide for denuded skin

3. Immediate changes with water only

4. Only petroleum jelly for all cases

The correct answer is: Higher pH and zinc oxide for denuded skin

The correct treatment for diaper dermatitis involves using higher pH and zinc oxide for denuded skin. This approach is effective because zinc oxide acts as a barrier that helps protect the skin from further irritation caused by moisture, urine, and feces. Additionally, the higher pH can aid in creating an environment that promotes healing for the skin that has been compromised. Zinc oxide is known for its anti-inflammatory properties, which can help soothe the skin and reduce redness. When the skin is denuded or damaged, it is particularly important to use protective agents that not only shield the area from further irritants but also support the healing process. This method aligns with best practices in dermatological care for diaper dermatitis, which typically involves maintaining skin integrity and preventing additional irritation. Using alcohol-based creams would likely worsen the condition by further irritating the delicate skin. Immediate changes using only water might not provide sufficient protection or healing properties necessary for a more severe case of dermatitis. Relying solely on petroleum jelly is also not ideal, as it may lack the necessary properties to promote healing and could potentially trap moisture against the skin, exacerbating the condition. Thus, the focus on higher pH and zinc oxide provides a comprehensive approach to treating diaper dermatitis effectively.