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

What is tunneling in a wound?

1. Fluid-filled cysts

2. Area of tissue loss extending in any direction from edge of wound

3. Granulation tissue formation

4. Scabbing over a wound

The correct answer is: Area of tissue loss extending in any direction from edge of wound

Tunneling in a wound refers to an area of tissue loss that extends in any direction from the edge of the wound. This presents a significant clinical consideration because it can affect the overall healing process and may indicate a deeper tissue involvement beneath the surface. Understanding tunneling is crucial for wound assessment, as it can signify the presence of undermining or pockets that may harbor bacteria, making them more susceptible to infection. Effective management of tunneling involves first identifying its extent through careful wound inspection, which may require probing. This assessment informs the treatment plan, guiding interventions such as debridement, appropriate dressing selection, and potential the need for advanced wound care techniques. It’s essential to address tunneling to promote optimal healing outcomes and prevent complications associated with deeper tissue damage. In contrast, the other choices do not define tunneling accurately. Fluid-filled cysts refer to a different type of lesion unrelated to the definition of tunneling. Granulation tissue formation pertains to new tissue that forms during healing but does not indicate the directional tissue loss seen in tunneling. Scabbing over a wound describes a protective crust that forms over a healing wound and does not illustrate the phenomenon of tunneling itself. Understanding these terms helps in accurately assessing and treating wounds effectively.