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

What is an appropriate secondary dressing for deep, wet wounds?

1. Moisture-retentive dressings

2. Foam, gauze, or transparent adhesive

3. Hydrocolloid dressings

4. Natural fiber wraps

The correct answer is: Foam, gauze, or transparent adhesive

Foam, gauze, or transparent adhesive dressings serve as appropriate secondary dressings for deep, wet wounds due to their ability to effectively manage exudate and provide a barrier against external contaminants. Foam dressings are particularly beneficial because they can absorb excess fluid while still maintaining a moist environment that is conducive to wound healing. They also provide cushioning and protect the wound from friction and trauma. Gauze dressings are versatile and can be layered for additional absorption, making them suitable for moist wounds when used in conjunction with a primary dressing that helps manage the moisture content. Transparent adhesive dressings allow for visualization of the wound while maintaining a moist environment and protecting from external contamination. Moisture-retentive dressings, while effective as primary dressings, are not classified as secondary dressings. Hydrocolloid dressings can also be suitable but are primarily used for specific types of wounds. Natural fiber wraps may not provide the optimal moisture and absorption necessary for managing deep, wet wounds effectively. Thus, foam, gauze, or transparent adhesive dressings are the best choice in this context.