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

What is the recommended first step in managing hypertrophic granulation tissue associated with a percutaneous tube?

1. Stabilize the tube

2. Apply antibiotic ointment

3. Use a hydrocolloid dressing

4. Drain the area

The correct answer is: Stabilize the tube

The recommended first step in managing hypertrophic granulation tissue associated with a percutaneous tube is to stabilize the tube. Stabilizing the tube helps prevent movement and friction that can contribute to further irritation and the development of excessive granulation tissue. When the tube is stable, it reduces the constant rubbing against the surrounding skin, which can exacerbate the condition. This foundational step is crucial for creating an environment where healing can occur, minimizing additional trauma to the tissue. Other potential measures, such as applying antibiotic ointment, using hydrocolloid dressings, or considering drainage, may be beneficial at later stages of management but are secondary to ensuring that the tube itself is secure. Addressing the stability of the tube first allows for more effective and targeted treatment of the surrounding tissue, ultimately supporting better overall wound management.