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

Which dressing is recommended as a contact layer for a deep, dry wound?

1. Foam dressing

2. Damp gauze

3. Amorphous gel

4. Transparent adhesive dressing

The correct answer is: Amorphous gel

Choosing an amorphous gel as a contact layer for a deep, dry wound is recommended because it provides moisture to the wound bed, which is essential for promoting a healing environment. Amorphous gels are designed to add moisture and hydrate the wound, facilitating granulation tissue formation and reducing the risk of desiccation. In the case of deep, dry wounds, maintaining a moist wound environment is crucial, as this can help minimize pain during dressing changes and enhance the overall healing process. The gel consistency conforms well to wound contours and can stay in place without adhering to the wound bed, which can potentially disrupt healing when removed. Other options have specific properties and uses that may not be as effective for deep, dry wounds. For instance, foam dressings are excellent for managing exudate but may not effectively add moisture to a dry wound. Damp gauze might provide some moisture, but it can also dry out quickly and may not create an optimal healing environment for deeper wounds. Transparent adhesive dressings are primarily used for superficial wounds or to provide a barrier while allowing visibility, but they do not provide the hydration necessary for deeper dry wounds.