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

What is the first step in treating an infected wound?

1. Applying a bandage

2. Debriding necrotic tissue

3. Prescribing systemic antibiotics

4. Irrigating the wound with clean water

The correct answer is: Debriding necrotic tissue

The correct approach to treating an infected wound begins with debriding necrotic tissue. This step is crucial because necrotic tissue, or dead tissue, creates an environment that can harbor bacteria and impede healing. Debridement involves the removal of this dead tissue, allowing for better penetration of medications and greater access of the body's immune system to the wound site. The process of removing necrotic tissue not only helps reduce the bacterial load but also enhances the overall wound healing process by creating a healthier wound bed. Once the necrotic tissue is adequately managed, further interventions such as irrigation, applying dressings, or initiating antibiotic therapy can be considered, depending on the severity of the infection and the individual characteristics of the wound. This foundational step sets the stage for everything that follows in effective wound management and is integral to ensuring positive patient outcomes.