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

What type of dressing can be used to remove hyperkeratotic skin?

1. Moisture-retentive dressings

2. Pad with monofilament fibers

3. Wet to dry dressings

4. Plastic wrap

The correct answer is: Pad with monofilament fibers

Using a pad with monofilament fibers is particularly effective for removing hyperkeratotic skin, which is characterized by thickened, dead skin layers. These pads are designed to gently exfoliate and remove the excess keratin without causing damage to the surrounding healthy skin. The structure of the monofilament fibers allows for a controlled debridement process, helping to lift away the hyperkeratotic tissue while minimizing trauma and irritation. In contrast, other dressing types may not be as suitable for this specific purpose. Moisture-retentive dressings are primarily used to maintain a moist environment for wounds, promoting healing but not necessarily targeting hyperkeratosis. Wet to dry dressings serve different functions and could potentially be painful, as they can adhere to wounds, leading to further tissue disruption during removal. Plastic wrap is also not an appropriate option for removing hyperkeratotic skin, as it does not provide the mechanical action needed for effective debridement and can instead create a macerating effect on the skin when moisture is trapped underneath.