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

What kind of wounds is chemical debridement best suited for?

1. Clean surgical wounds

2. Necrotic infected wounds or malodorous wounds

3. Wounds with granulation tissue

4. Superficial abrasions

The correct answer is: Necrotic infected wounds or malodorous wounds

Chemical debridement is particularly effective for necrotic infected wounds or malodorous wounds because it involves the application of enzymatic agents or chemicals that facilitate the breakdown of devitalized tissue. This process is essential for promoting healing, as necrotic tissue can harbor bacteria and impede the body’s natural healing mechanisms. In the context of wound management, necrotic tissue often needs to be removed to reduce the risk of infection and to create a suitable environment for healthy tissue growth. Malodorous wounds frequently indicate the presence of necrotic tissue or infection, making chemical debridement a strategic choice for both odor control and tissue removal. This method effectively promotes a cleaner wound bed, allowing healthcare providers to better assess the wound and implement further treatment strategies. The other types of wounds mentioned are not optimal candidates for chemical debridement. Clean surgical wounds typically require minimal intervention as they are already sterile and have a reduced risk of infection. Wounds with granulation tissue signify healing and do not need aggressive debridement, while superficial abrasions usually heal well on their own without the need for chemical intervention.