Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

For autolytic debridement in an exudative wound, which dressing is most appropriate?

1. Hydrocolloid dressings only

2. Dressings that absorb excess exudate yet maintain moisture

3. Dressings that completely dry out the wound

4. Only non-adherent gauze dressings

The correct answer is: Dressings that absorb excess exudate yet maintain moisture

Autolytic debridement is a process that utilizes the body's natural healing processes to remove necrotic tissue from wounds. For this process to be effective in an exudative wound, it is essential to choose a dressing that can manage the moisture balance appropriately. Selecting dressings that absorb excess exudate yet maintain moisture is crucial because they help to create an optimal moist wound environment. This environment not only aids in the natural breakdown of dead tissue but also prevents the wound from drying out, which can inhibit healing and lead to pain and damage to the surrounding healthy tissue. These types of dressings—such as foam dressings or certain types of hydrocolloids—can provide a moist environment while simultaneously managing the level of exudate. This is particularly important in exudative wounds, where excess moisture can lead to maceration if not controlled. Options that suggest completely drying out the wound or using only non-adherent gauze do not align with the principles of autolytic debridement, as these could create a dry environment that could be detrimental to the healing process. Additionally, while hydrocolloids can be effective, the focus on their use alone might overlook the particular needs of exudative wounds, where