Certified Wound Ostomy Nurse (CWON) Practice Test

Which factor contributes to the fragility of skin that may sustain friction damage?

1. Skin thickness

2. The degree of hydration

3. Age of the individual

4. All of the above

The correct answer is: All of the above

The fragility of skin that may sustain friction damage is influenced by a combination of factors, which is why considering all of them together is essential. Skin thickness plays a critical role, as thinner skin is generally more susceptible to damage from friction. This is particularly relevant in areas where the skin naturally is thinner or where aging may lead to skin atrophy. The degree of hydration is also a significant factor. Well-hydrated skin retains its elasticity and structural integrity, allowing it to withstand stresses like friction. In contrast, dehydrated skin can become dry and less resilient, increasing the risk of friction injuries. Age of the individual is another contributing consideration. As individuals age, the skin undergoes various physiological changes, including a decrease in collagen production and a thinning of the epidermis. This natural aging process results in greater skin fragility, making older adults more vulnerable to friction damage. Overall, because skin fragility is the result of an interplay among these multiple factors, recognizing that each plays a role supports the understanding that all these elements together contribute to the risk of sustaining friction damage.