Certified Wound Ostomy Nurse (CWON) Practice Test

Which method is effective for managing peritubular breakdown?

1. Only utilize hydrocolloid dressings

2. Correct the underlying cause and apply sealing agents

3. Immediately replace the tube

4. Exclusively use zinc oxide for protection

The correct answer is: Correct the underlying cause and apply sealing agents

The most effective method for managing peritubular breakdown involves correcting the underlying cause and applying sealing agents. This approach addresses the root of the issue, which is essential in treating skin breakdown around tubes. By identifying and resolving contributing factors—such as friction, moisture, or the presence of exudate—this method not only alleviates immediate symptoms but also prevents further damage to the surrounding skin. Sealing agents create a barrier that protects the skin from irritants and moisture, thereby promoting healing and safeguarding the area from additional breakdown. This dual focus on both the underlying cause and topical protection is vital for effective management. Utilizing hydrocolloid dressings alone may not address the underlying factors causing the breakdown, while an immediate replacement of the tube may not be necessary or effective without first understanding the cause of the breakdown. Similarly, exclusively relying on zinc oxide does not provide a comprehensive solution, as it may help only with protection without addressing the other contributing factors. Thus, correcting the underlying cause and applying sealing agents is the most holistic and effective approach.