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

What is the process of autolytic debridement?

1. Direct surgical removal of necrotic tissue

2. Using WBCs and enzymes in wound fluid to digest necrotic tissue

3. Application of chemical agents to break down tissue

4. Wrapping wounds in dry gauze

The correct answer is: Using WBCs and enzymes in wound fluid to digest necrotic tissue

The process of autolytic debridement involves the body's own mechanisms to remove necrotic tissue from a wound. This method relies on the natural action of white blood cells (WBCs) and enzymes present within the wound fluid, which work together to digest and break down dead or necrotic tissue. Autolytic debridement is a selective process that allows the body to heal itself, promoting the formation of healthy granulation tissue without the need for more invasive procedures. This method is especially important in wound care because it is a gentle and effective way to cleanse wounds, encouraging a healthier environment for healing. Unlike other forms of debridement, such as surgical removal or the use of chemical agents, autolytic debridement does not cause trauma to the surrounding healthy tissue. This makes it an ideal choice for certain types of wounds, especially in patients who may not tolerate more aggressive interventions. In contrast, direct surgical removal of necrotic tissue involves physically cutting away dead tissue, which is more invasive and often requires anesthesia. The application of chemical agents can be effective but may carry risks of chemical burns or damage to surrounding tissues. Wrapping wounds in dry gauze does not facilitate debridement but instead may delay healing, as