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

Which dressing is appropriate for a shallow, dry wound?

1. Nonadherent gauze

2. Damp gauze with saline

3. Calcium alginate

4. Hydrofiber dressing

The correct answer is: Nonadherent gauze

Nonadherent gauze is a suitable choice for a shallow, dry wound because it serves to protect the area while allowing for some degree of moisture retention without adhering to the wound bed. This type of dressing is designed to minimize pain during dressing changes and can help prevent adherence to the wound, which is particularly important for shallow wounds that need to be kept intact and free of disruption. In the case of a shallow, dry wound, maintaining a moist environment is essential for promoting healing, but nonadherent gauze can provide that balance without excessively trapping moisture or causing maceration. Additionally, its breathable properties ensure that the wound can still receive oxygen, which is crucial for the healing process. Other options, such as damp gauze with saline, may create too moist an environment for a dry wound, risking maceration. Calcium alginate and hydrofiber dressings are typically used for wounds that exude more fluid, as they are designed to absorb excess exudate. Therefore, using them on a dry wound would not be appropriate and could hinder the healing process.