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

When managing corns and callouses, what is the best practice?

1. Trimming with scissors

2. Paring and protecting against friction

3. Soaking in hot water

4. Using medicated creams nightly

The correct answer is: Paring and protecting against friction

The best practice for managing corns and callouses is paring and protecting against friction. This method directly addresses the underlying issue that causes the formation of corns and callouses, which is excessive friction and pressure on the skin. By paring, which involves gently removing the thickened skin, you reduce the size of the corn or callous, making it less prominent and uncomfortable. This intervention not only alleviates pain but also helps the skin to begin healing. Additionally, protecting the area against further friction is crucial as it prevents new corns and callouses from forming. This can be achieved through the use of protective padding, choosing appropriate footwear, or modifying activities that contribute to excessive pressure. While trimming with scissors may seem like a viable option, it poses the risk of cutting too deeply, potentially causing injury or infection. Soaking the area in hot water can provide temporary relief, but it does not address the underlying issue of friction or pressure. Using medicated creams can be part of a treatment regimen, yet it typically focuses on softening the thick skin rather than on effective mechanical management of corns and callouses. Therefore, paring and protective measures provide a more comprehensive and effective approach to managing this condition.