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

What is a key characteristic of a wet to dry dressing that could cause patient discomfort?

1. They are waterproof

2. They may cause bleeding

3. They are easy to remove

4. They are very absorbent

The correct answer is: They may cause bleeding

A key characteristic of wet to dry dressings that could lead to patient discomfort is the potential for causing bleeding upon removal. These types of dressings are designed to provide moisture to a wound while also promoting the absorption of exudate. The adherence of the dressing to the wound bed can become significantly strong as it dries over time. When the dressing is removed, it may pull away not only the dried exudate but also healthy tissue, which could result in bleeding. This phenomenon is particularly concerning for wounds that are not fully healed or for patients with fragile skin, making it essential to be cautious when changing these dressings. The options related to waterproof characteristics, ease of removal, and absorbency do not directly impact patient comfort in the same manner. While waterproof dressings may have their benefits, they do not inherently lead to discomfort. Similarly, if a dressing is easy to remove, that can alleviate discomfort rather than cause it. High absorbency is typically seen as a positive attribute, as it helps manage wound drainage effectively. Understanding how the interaction between the dressing and the wound can impact patient experience is crucial in wound care management.