Certified Wound Ostomy Nurse (CWON) Practice Test

What is an appropriate secondary dressing for deep, wet wounds?

1. Nonadherent dressing

2. Gauze

3. Transparent adhesive

4. All of the above

The correct answer is: All of the above

A secondary dressing for deep, wet wounds must provide the necessary properties to manage exudate while ensuring a conducive healing environment. Nonadherent dressings are designed to allow for easy removal without damaging the wound bed, which is crucial for minimizing pain and trauma during dressing changes. Gauze dressings, particularly when layered, can absorb significant amounts of exudate and maintain a moist wound environment, which supports healing. Transparent adhesive dressings offer a waterproof barrier while allowing for visualization of the wound, which can help monitor healing progress without needing to remove the dressing frequently. Their ability to adhere directly to the surrounding skin while allowing moisture vapor exchange makes them suitable for managing moderate amounts of exudate. By having various options such as nonadherent dressings, gauze, and transparent adhesive dressings, each fulfills different aspects of wound care, making them all appropriate secondary dressings in the context of deep, wet wounds. The versatility of being able to select from multiple types of dressings enables tailored care that considers the wound's specific characteristics and the patient's overall condition.