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

What is an appropriate dressing for skin tears classified as Type 2 and 3?

1. Silicone adhesive foam with wrap gauze

2. Simple band-aids

3. Only cream applications

4. Non-sticking tape alone

The correct answer is: Silicone adhesive foam with wrap gauze

Silicone adhesive foam with wrap gauze is an appropriate dressing choice for skin tears classified as Type 2 and 3 due to its properties that facilitate healing while providing optimal moisture management. Type 2 skin tears are partial-thickness tears that may involve the epidermis and part of the dermis, while Type 3 tears are full-thickness injuries where the skin is completely torn. Silicone adhesive foam dressings are designed to provide cushioning, protect the area from external contaminants, and maintain a moist environment that is conducive to healing. The silicone layer minimizes trauma to the wound and the surrounding skin upon removal, which is particularly important for delicate skin areas. Additionally, the wrap gauze helps secure the dressing in place, preventing movement that could cause further injury. In contrast, simple band-aids may not provide the necessary coverage or absorbency for larger or more complex tears, while cream applications alone may not protect the wound effectively. Non-sticking tape does not provide any absorbent or protective qualities needed for managing skin tears. Therefore, the combination of silicone adhesive foam and wrap gauze ensures comprehensive care for Type 2 and Type 3 skin tears.