Certified Wound Ostomy Nurse (CWON) Practice Test

What is indicated by the term 'crusting' in wound terminology?

1. Generalized redness

2. Infection

3. Scab formation

4. Fluid accumulation

The correct answer is: Scab formation

The term 'crusting' in wound terminology specifically refers to the formation of a scab. This process occurs when a wound begins to heal, and crusts form over the area due to the coagulation of blood and the drying of exudate. The formation of a crust, or scab, plays a protective role as it helps to cover the wound, shielding it from infection and external irritants while allowing the underlying tissue to heal. Understanding crusting is important in wound assessment, as it signals the progression of healing. Other choices do not describe crusting: generalized redness may indicate irritation or inflammation, infection would involve signs such as increased swelling or pus, and fluid accumulation could suggest the presence of edema or serous drainage rather than crusting. Thus, recognizing crust formation is crucial for clinicians to monitor the healing process effectively.