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

What is essential for accomplishing autolytic debridement in a dry wound?

1. A moist wound dressing that adds moisture

2. A dry dressing that allows exposure to air

3. A dressing that absorbs all moisture from the wound

4. A surgical dressing that prevents infection

The correct answer is: A moist wound dressing that adds moisture

Autolytic debridement is a natural process where the body utilizes its own enzymes and moisture to break down devitalized (non-viable) tissue in a wound. For this process to work effectively, it is crucial to maintain a moist wound environment. A moist wound dressing that adds moisture is essential because it provides the necessary hydration that facilitates the autolytic process. This moisture helps keep the wound tissue hydrated, which is vital for the enzymatic actions involved in breaking down necrotic tissue. Maintaining a moist environment also protects the surrounding healthy tissue and promotes faster healing. Dressings that absorb all moisture or are dry and expose the wound to air can hinder this process, as they may lead to desiccation of the wound bed and impede the body's natural debridement mechanisms. Additionally, while surgical dressings that prevent infection are important in managing wounds, they do not specifically promote autolytic debridement, which relies on moisture balance and enzymatic activity in the wound. Thus, the correct choice supports the physiological processes necessary for effective wound healing.