Certified Wound Ostomy Nurse (CWON) Practice Test

What is the recommended contact layer for a deep, dry wound?

1. Damp gauze

2. Hydrofiber dressing

3. Amorphous gel

4. Foam dressing

The correct answer is: Amorphous gel

The recommended contact layer for a deep, dry wound is an amorphous gel. This type of dressing is designed to provide moisture to the wound bed while also maintaining a moist environment, which is critical for the healing process. Amorphous gels can absorb excess exudate, thereby preventing the wound from drying out, which can impede healing and increase the risk of infection. In deep, dry wounds, maintaining an optimal level of moisture is essential as it promotes autolytic debridement, facilitates cell migration, and helps with granulation tissue formation. The gel consistency allows it to easily conform to the contours of the wound, ensuring intimate contact with the tissue, which is important for effective healing. Other options may not be as effective for this specific scenario. For instance, damp gauze can adhere to the wound and may cause trauma upon removal, while hydrofiber dressings are primarily beneficial for moderately to heavily exuding wounds. Foam dressings are typically used for wounds with higher levels of exudate, as they are designed to absorb moisture and may not be the best choice for a deep, dry wound requiring moisture retention.