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

What is essential for promoting epithelial cell proliferation in wound healing?

1. Dry wound bed

2. Clean, moist wound bed and low bacterial counts

3. High bacterial counts and dry environment

4. High levels of inflammation

The correct answer is: Clean, moist wound bed and low bacterial counts

Promoting epithelial cell proliferation during wound healing is critically dependent on maintaining a clean and moist wound bed while managing bacterial counts. A moist environment is essential because it facilitates migration of epithelial cells across the wound surface, which is a key aspect of the healing process. When the wound is kept moist, it supports cellular activities that are integral to healing, such as cell division and migration. Additionally, low bacterial counts are crucial for preventing infection, which can impede healing and lead to further complications. High levels of bacteria can cause inflammation or infection, stalling the healing process. A clean wound with minimal bacterial presence encourages a favorable environment for new cell growth and tissue repair, thereby promoting efficient epithelial cell proliferation. In contrast, options that involve a dry wound bed, high bacterial counts, or high levels of inflammation do not support healthy healing conditions and would likely disrupt the healing process, emphasizing the importance of the correct choice in fostering optimal conditions for wound healing.