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

What is the most appropriate method to cleanse a clean wound?

1. Use of whirlpool therapy

2. Gentle flushing with noncytotoxic solutions

3. Scrubbing with antiseptic solutions

4. High-pressure irrigation

The correct answer is: Gentle flushing with noncytotoxic solutions

The most appropriate method to cleanse a clean wound is through gentle flushing with noncytotoxic solutions. This approach effectively removes debris and any contaminants present in the wound without exerting excessive pressure, which could damage healthy tissue. Using noncytotoxic solutions ensures that the wound environment is conducive to healing and minimizes potential irritation or chemical harm to the tissue. Whirlpool therapy is generally not recommended for cleansing clean wounds due to the risk of introducing bacteria from the water and the potential for vigorously agitating the wound, which may disrupt the healing process. Scrubbing with antiseptic solutions can be too harsh and may lead to tissue damage, as many antiseptics have cytotoxic effects on cells necessary for healing. High-pressure irrigation, while useful in certain situations, carries risks of further tissue damage and should be used cautiously and in specific contexts rather than as a routine cleansing method for clean wounds. Therefore, gentle flushing with noncytotoxic solutions strikes the right balance between effective cleansing and promoting the wound's healing environment.