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

When cleansing a necrotic or dirty wound, what is the primary goal?

1. To leave all debris in place

2. To remove as much debris as possible without damaging tissue

3. To use high pressure irrigation

4. To apply a drying agent

The correct answer is: To remove as much debris as possible without damaging tissue

When cleansing a necrotic or dirty wound, the primary goal is to remove as much debris as possible without damaging surrounding healthy tissue. Effective wound care relies on the thorough debridement of necrotic tissue, foreign materials, and bacteria, which can impede healing and increase the risk of infection. The rationale behind this goal is that clearing away debris promotes a more favorable environment for healing by allowing for proper assessment of wound depth and structure. It can also enhance the effectiveness of further treatments, such as dressings and topical agents, by ensuring that these applications can adhere properly to clean tissue. The approach must be delicate enough to preserve viable tissue, as aggressive cleansing or debridement can lead to further injury, delay healing, or create additional complications. This balanced approach supports optimal wound healing while ensuring that the area remains protected and appropriately treated.