Certified Wound Ostomy Nurse (CWON) Practice Test

Which technique is effective for managing peristomal MASD?

1. Applying a saline solution

2. Covering with a dry dressing

3. Treating denuded areas with pectin powder

4. Using alcohol swabs

The correct answer is: Treating denuded areas with pectin powder

Treating denuded areas with pectin powder is effective for managing peristomal moisture-associated skin damage (MASD) because pectin powder serves as a protective barrier that aids in healing. Pectin acts by adhering to the moist skin surface, providing a protective layer that can absorb excess moisture and reduce friction against the adjacent skin. This is particularly beneficial in areas that are exposed to constant moisture from ostomy output, thereby preventing further skin breakdown and promoting healing. Utilizing pectin powder can also assist with pain relief in denuded tissues, as it can create a less irritating environment and foster a conducive setting for skin repair. This technique is aligned with best practices in wound care management, emphasizing the importance of moisture control and creating an optimal environment for skin recovery. In contrast, applying a saline solution may not provide adequate protection or absorb excess moisture; instead, it could contribute to maceration. Covering with a dry dressing might not allow for adequate moisture management, especially in cases where the output is ongoing. Using alcohol swabs is likely to irritate the already damaged skin further, potentially causing additional harm rather than assisting in healing.