Certified Wound Ostomy Nurse (CWON) Practice Test

How do you properly manage a full-thickness wound on the dorsal hand?

1. Cover with a breathable adhesive bandage

2. Consult plastic surgery to maintain function

3. Provide topical antifungal treatments

4. Apply a hydrogel dressing

The correct answer is: Consult plastic surgery to maintain function

Managing a full-thickness wound on the dorsal hand requires careful consideration of both healing and function. When it comes to addressing such wounds, especially those located in critical areas like the hands, consulting plastic surgery is a vital step. Full-thickness wounds can involve not just the skin but may also affect deeper structures, including tendons, nerves, and blood vessels, which are essential for hand function. Involving plastic surgery ensures that the wound is assessed properly for any damage to these essential structures, and they can provide precise interventions if surgical repair is needed. This is crucial for maintaining the function of the hand and preventing complications such as scarring or loss of movement, which can significantly impact a patient's quality of life. Other options, while they might seem relevant in different contexts, do not address the complexity required in managing full-thickness wounds effectively. Covering the wound with a breathable adhesive bandage does not provide the necessary protection or treatment for deeper injuries. Providing topical antifungal treatments is not appropriate, as it does not address wound healing and is more suited for fungal infections rather than wound management. Applying a hydrogel dressing may aid in moisture retention, but in situations where there is significant tissue involvement, it may not be sufficient without surgical consultation. Therefore,