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

What dressing should be used for a shallow, dry dressing?

1. Silicone gel dressing

2. Hydrofiber wrapping

3. Nonadherent gauze or hydrocolloid

4. Transparent film dressing

The correct answer is: Nonadherent gauze or hydrocolloid

For a shallow, dry wound, using a nonadherent gauze or hydrocolloid dressing is appropriate because these types of dressings provide a moist environment that can promote healing while minimizing trauma to the wound upon dressing changes. Nonadherent gauze prevents sticking to the wound bed, which reduces pain and further tissue damage when the dressing is removed. Hydrocolloids form a gel-like substance that aids in moisture retention, making them effective for shallow wounds that may benefit from a moist healing environment. In contrast, silicone gel dressings are typically more suited for wounds at risk of shearing or friction damage rather than dry ones. Hydrofiber wrapping is often reserved for moderate to high exudating wounds, where absorption is necessary. Transparent film dressings, while allowing for visual monitoring of the wound, may not provide enough moisture retention for a very dry wound, potentially leading to desiccation of the tissue. Thus, choosing a nonadherent gauze or hydrocolloid dressing strikes the right balance for a shallow, dry wound.