Certified Wound Ostomy Nurse (CWON) Practice Test

When is enzymatic debridement appropriate?

1. When surgical debridement is possible

2. When wound is infected

3. When surgical option is not feasible

4. When patient prefers not to have any treatment

The correct answer is: When surgical option is not feasible

Enzymatic debridement is a method used to remove devitalized tissue from wounds through the application of specific enzymes. This approach is particularly appropriate when surgical debridement is not feasible, either due to the patient's overall condition, the location of the wound, or other contraindications for surgery. In situations where surgical options are limited or risky, enzymatic debridement offers a non-invasive alternative that can help facilitate healing by promoting the removal of necrotic tissue while minimizing further trauma to the wound area. This method is especially beneficial in managing chronic wounds or in cases where the patient may have comorbidities that complicate surgical intervention. Enzymatic debridement is not typically indicated when a wound is infected without the presence of necrotic tissue, as it may not adequately address the infection. Similarly, if surgical debridement is a viable option, it is generally preferred due to its efficiency and effectiveness in clearing necrotic tissue. Lastly, a patient's preference to avoid treatment does not serve as a clinical indication for selecting enzymatic debridement, as the decision should always prioritize optimal wound care outcomes. Thus, choosing enzymatic debridement aligns with the clinical necessity of managing wounds where alternatives may be circumvented.