Certified Wound Ostomy Nurse (CWON) Practice Test

What is a recommended management strategy for wound edges that close prematurely?

1. Application of topical ointments

2. Surgical excision or AgNO3 cauterization

3. Increased wound exposure

4. Annual physician visits

The correct answer is: Surgical excision or AgNO3 cauterization

When wound edges close prematurely, this can lead to complications such as the formation of a dead space or abscess. Surgical excision or AgNO3 cauterization is an effective management strategy in this context. The use of surgical excision allows for the removal of any tissue that may be contributing to abnormal wound healing, while AgNO3 cauterization is utilized to promote further closure of the wound if there are unhealthy granulation tissue or other impediments to proper healing. This approach is direct and targeted, facilitating optimal healing conditions by addressing the underlying causes of the premature closure. Other methods, such as topical ointments or increased exposure, may not effectively address the mechanical issues related to wound edge closure. Annual physician visits do not provide the immediate intervention needed for such a specific complication and are more suited for general monitoring rather than active management of wound healing issues.