Certified Wound Ostomy Nurse (CWON) Practice Test

Which of the following is NOT essential for promoting a healthy wound bed?

1. Low bacterial counts

2. Adequate blood flow

3. Dryness of the wound

4. Normal amounts of growth factors

The correct answer is: Dryness of the wound

Promoting a healthy wound bed is crucial for optimal healing, and the correct answer reflects an important aspect of wound management. While low bacterial counts, adequate blood flow, and normal amounts of growth factors are all vital for creating an environment conducive to healing, dryness of the wound is not beneficial. A wound must maintain a certain moisture balance. A dry wound bed can lead to cell death, delayed healing, and increased pain. In contrast, a moist wound environment facilitates cellular migration, prevents scab formation, and supports the activity of growth factors and other healing components. Thus, while controlling moisture levels is important, complete dryness contradicts current best practices in wound management. A healthy wound bed typically benefits from a moist environment, which is why the correct answer highlights that dryness is not essential, and in fact, can be detrimental to wound healing.