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

What is the recommended treatment for a Type 1 skin tear?

1. Cleanse and apply zinc oxide paste

2. Cleanse, roll flap back, and secure with steristrips

3. Apply paper tape for adhesion

4. Immediate surgical intervention

The correct answer is: Cleanse, roll flap back, and secure with steristrips

The recommended treatment for a Type 1 skin tear is to cleanse the area, carefully roll the flap back into place, and secure it with steristrips. This approach is effective because Type 1 skin tears involve a partial thickness loss, and the flap of skin is still viable. By rolling the flap back, you are allowing the skin to heal over the wound bed, which aids in maintaining the skin's integrity and promotes optimal healing conditions. Cleansing the wound is crucial to prevent infection by removing any debris or bacteria that may be present. The use of steristrips ensures that the flap remains in position while still allowing for adequate blood flow to the area, which is essential for healing. This method minimizes further injury to the skin and provides a supportive environment for regeneration. Other options do not address the requirement of repositioning the skin flap or fail to provide adequate support for healing. Thus, the method involving cleansing, rolling the flap back, and securing it with steristrips is the most appropriate management for a Type 1 skin tear.