Certified Wound Care Nurse (CWCN) Practice Exam

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Which types of dressings are contraindicated for wounds associated with Incontinence Associated Dermatitis (IAD)?

  1. Hydrogels and silicone dressings

  2. Transparent films and hydrocolloids

  3. Foams and alginates

  4. Gauze and fiber dressings

The correct answer is: Transparent films and hydrocolloids

The most appropriate answer is that transparent films and hydrocolloids are contraindicated for wounds associated with Incontinence Associated Dermatitis (IAD) due to their occlusive nature. In the context of IAD, the skin is usually already compromised, and these dressings can trap moisture underneath, which is detrimental to the healing process. The occlusion can lead to increased maceration of the skin, worsening the damage due to moisture exposure from incontinence. Transparent films, while useful for certain types of wounds, do not allow for adequate moisture vapor transfer in cases where the surrounding skin is fragile and exposed to fluids. Hydrocolloids, though they support a moist environment, can create a barrier that exacerbates the issue of moisture retention in an already vulnerable area affected by incontinence. This makes the choice of dressing critical in managing IAD effectively, as the goal is to protect the skin, manage moisture effectively, and avoid further irritation.