Certified Wound Ostomy Nurse (CWON) Practice Test

How should a necrotic or dirty wound be cleansed?

1. Just apply an antiseptic and cover

2. Remove debris without damaging underlying tissue

3. Use a soft cloth to wipe the area

4. Soak the wound in saline solution

The correct answer is: Remove debris without damaging underlying tissue

Cleansing a necrotic or dirty wound requires careful attention to preserve the integrity of the underlying tissue while effectively removing debris and contaminants. The key to this process is to focus on debridement, which involves the gentle removal of necrotic tissue and foreign material without causing further damage to healthy tissue beneath it. This minimizes the risk of infection and promotes an optimal environment for healing. While applying an antiseptic and covering the wound might seem like a simple solution, it does not address the underlying problem of debris and necrosis, which can hinder healing. Using a soft cloth to wipe the area is not specific enough and may inadvertently irritate the wound. Soaking the wound in saline might be beneficial for hydration but does not actively remove the necrotic tissue or debris that needs to be addressed for proper wound care. Therefore, the focus on removing debris without damaging underlying tissue is the most appropriate and effective method for cleansing a necrotic or dirty wound, as it supports the healing process while ensuring that more problematic materials are safely eliminated.