Certified Wound Ostomy Nurse (CWON) Practice Test

What defines a refractory wound?

1. A wound healing completely within a week

2. A wound that shows no measurable progress for 2 consecutive weeks

3. A wound that responds quickly to therapy

4. A wound that requires surgical intervention

The correct answer is: A wound that shows no measurable progress for 2 consecutive weeks

A refractory wound is characterized by a lack of measurable improvement over a specific timeframe, and in this case, that timeframe is two consecutive weeks. This definition highlights the persistence of the wound's condition despite appropriate treatment measures. It indicates that the wound is resistant to healing processes that would normally occur, requiring a reassessment of the treatment approach or consideration of underlying factors that may inhibit healing. In contrast, a wound that heals completely within a week suggests a typical healing process, with positive signs of progress. Quick responsiveness to therapy indicates a favorable outcome; the treatment is effective, and healing mechanisms are functioning as expected. Lastly, a wound that requires surgical intervention does not inherently reflect its refractory nature; surgical intervention may be needed due to a variety of factors unrelated to the wound's healing status, such as infection, necrosis, or significant structural issues. Thus, the defining quality of a refractory wound is specifically linked to its lack of improvement over a defined duration.