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

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What commonly precedes friction skin loss?

  1. Scabbing

  2. Erythema, tenderness

  3. Scaling and flaking

  4. Dermatitis

The correct answer is: Erythema, tenderness

Friction skin loss is a condition that occurs when there is significant friction against the skin, often resulting in damage. The presence of erythema and tenderness is indicative of the skin undergoing stress due to this friction. Erythema, in particular, signifies redness that occurs from increased blood flow to the area as part of the inflammatory response. Tenderness shows that the skin is not only affected but also indicative of an impending injury. These signs are crucial as they usually develop before any actual skin loss occurs, serving as a warning that the skin has been compromised. Other options, like scabbing, scaling and flaking, and dermatitis, represent different conditions or processes that are not typical precursors to friction skin loss. Scabbing indicates a different healing phase usually after skin has been broken, scaling and flaking pertains to issues with skin hydration and possibly dermatological conditions, while dermatitis implies inflammation due to allergic reactions or irritants, which do not directly result from friction-related damage. Therefore, recognizing erythema and tenderness as early signs is essential in preventing further skin breakdown and potential complications.