Certified Wound Ostomy Nurse (CWON) Practice Test

Which of these is a recommended strategy for preventing IAD?

1. Decreasing fluid intake

2. Using irritating soap for cleansing

3. Implementing toileting programs

4. Limiting use of absorptive products

The correct answer is: Implementing toileting programs

Implementing toileting programs is a key strategy for preventing incontinence-associated dermatitis (IAD). These programs focus on scheduled toileting, which helps manage and reduce episodes of incontinence. By ensuring regular and timely toileting, the skin is less exposed to moisture and potential irritants that can lead to dermatitis. This proactive approach assists in maintaining skin integrity and prevents the accumulation of urine or feces on the skin, thereby reducing the risk of IAD. In comparison, decreasing fluid intake may lead to concentrated urine, increasing the risk of skin irritation if incontinence occurs. Using irritating soap for cleansing can damage the skin barrier and contribute to irritation rather than protect the skin. Lastly, limiting the use of absorptive products might not be effective, as these products play a crucial role in managing moisture and protecting the skin in individuals at risk. Therefore, implementing toileting programs stands out as the most effective strategy for preventing IAD.