Certified Wound Ostomy Nurse (CWON) Practice Test

What type of dressing is appropriate for accomplishing autolytic debridement in an exudative wound?

1. Thin film dressings

2. Damp nonwoven gauze or alginate

3. Hydrocolloid dressings

4. Regular adhesive bandages

The correct answer is: Damp nonwoven gauze or alginate

The appropriate dressing for accomplishing autolytic debridement in an exudative wound is damp nonwoven gauze or alginate. These types of dressings maintain a moist environment while allowing for the absorption of excess exudate, which is crucial for autolytic debridement. Autolytic debridement is a natural process where the body's own enzymes and moisture break down dead or non-viable tissue. In an exudative wound, the presence of excess fluid must be managed to prevent maceration of surrounding tissue while still supporting the moist environment needed for this process. Nonwoven gauze can be used to wick away moisture, and alginates are beneficial due to their ability to absorb exudate effectively. In contrast, thin film dressings may not provide sufficient absorption for exudative wounds and are better suited for low-exudate environments. Hydrocolloid dressings can provide a moist environment but might not absorb as much fluid as necessary from a heavily exudative wound. Regular adhesive bandages are designed for minor wounds without significant exudate and do not support autolytic debridement processes effectively in more complex wounds. This distinction makes damp nonwoven gauze or alginate the most suitable