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

What is the ideal approach for treating minor peritubular skin irritation?

1. Immediate drainage of fluid

2. Application of steroid cream

3. Use of powder and sealant

4. Removal of the tube

The correct answer is: Use of powder and sealant

The ideal approach for treating minor peritubular skin irritation is the use of powder and sealant. This method helps to absorb moisture and protect the skin from further irritation, which can result from the presence of any exudate or the friction of the tube against the skin. Powders can create a barrier that minimizes contact between the skin and any irritants, while sealants provide a protective layer that can enhance skin integrity. Using powder and sealant can also facilitate moisture management, which is crucial in preventing further skin breakdown. This balanced approach focuses on protecting the skin while allowing for comfort and maintaining the function of the tube in place. Immediate drainage may seem beneficial in the context of fluid accumulation, but it does not address the underlying irritation, which can persist despite fluid removal. The application of steroid cream may provide anti-inflammatory effects, but it is not typically the first line of defense for minor irritation, as it might not address moisture and friction adequately. Removal of the tube is usually not indicated unless there are more serious complications, as it can lead to additional discomfort and could complicate the primary treatment plan.