Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

What does hydrotherapy utilize for treating wounds?

1. Cool packs and pads

2. Whirlpool or high-pressure irrigation

3. Moist compresses only

4. Manual cleaning and scrubbing

The correct answer is: Whirlpool or high-pressure irrigation

Hydrotherapy utilizes whirlpool or high-pressure irrigation for treating wounds because these methods are effective in gently cleaning the wound, promoting circulation, and enhancing the healing process. The use of water in a whirlpool can help to debride the wound by loosening debris and necrotic tissue without the need for harsh scrubbing, which can cause further damage or irritation to the tissue. High-pressure irrigation, often used in surgical settings, can effectively remove bacteria and foreign materials from the wound bed, significantly reducing the risk of infection. These techniques not only assist in wound cleaning but also facilitate a moist wound environment, which is a critical factor in optimal wound healing. In contrast, cool packs and pads primarily serve to reduce swelling and pain rather than contributing directly to the cleaning or healing of wounds. Moist compresses can be beneficial for maintaining moisture but do not offer the same level of cleansing as hydrotherapy methods. Manual cleaning and scrubbing can sometimes be traumatic to the tissue and are less commonly recommended as standalone therapies for wound treatment.