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

What type of dressings can be used for hypertrophic granulation tissue management?

1. Polyurethane foam dressings

2. Alginate dressings

3. Adhesive bandages

4. Transparent film dressings

The correct answer is: Polyurethane foam dressings

Polyurethane foam dressings are highly effective for managing hypertrophic granulation tissue due to their ability to provide a moist wound environment, which is essential for promoting optimal healing. These dressings are designed to absorb excess exudate while maintaining hydration around the wound. The cushioning effect of foam dressings can also protect the granulation tissue from further irritation or trauma, which is crucial since hypertrophic tissue can be sensitive and prone to breakdown. In addition, polyurethane foam dressings are often non-adherent, which helps in preventing pain and damage to the fragile granulation tissue during dressing changes. This quality supports the healing process by minimizing inflammation and promoting the optimal conditions for tissue regeneration. This is particularly important in the management of hypertrophic granulation tissue, where care must be taken to support healing while avoiding additional trauma. Other dressing types such as alginate dressings, adhesive bandages, and transparent film dressings do not provide the same level of cushioning and moisture balance required for hypertrophic tissue management. Alginate dressings are more suited for highly exudative wounds, while adhesive bandages may not offer sufficient moisture retention or gentle handling for sensitive areas. Transparent film dressings, while they maintain hydration, do not absorb exudate effectively, which can