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

Which method is recommended for managing onychomycosis?

1. Applying Vick's vaporub to the cuticle daily

2. Soaking in vinegar solution

3. Trimming nails weekly

4. Using coconut oil

The correct answer is: Applying Vick's vaporub to the cuticle daily

The recommended method for managing onychomycosis, or nail fungus, should be based on treatments that are supported by research and evidence. Applying Vick's vaporub to the cuticle daily is noted for its potential antifungal properties due to the presence of ingredients like menthol and eucalyptus oil, which may help in some cases to alleviate mild fungal infections. While this method may show some anecdotal success, it should not be considered a primary treatment, especially in more severe cases. In contrast, other methods listed, such as soaking in vinegar solution, trimming nails weekly, and using coconut oil, do not provide the same level of evidence for effectiveness against onychomycosis. Soaking in vinegar might offer some antifungal effects, but it is less effective than medically approved treatments. Trimming nails is important for hygiene and management but does not directly treat the infection. Similarly, while coconut oil has some antifungal properties, it is not commonly used or recommended as a primary treatment for onychomycosis. Therefore, while applying Vick's vaporub may provide some symptomatic relief for mild cases, comprehensive treatment for onychomycosis typically involves topical or oral antifungal medications specifically designed to eradicate the fungal infection.