CWCA Wound Bed Preparation 1 — Questions and Answers
Question 1: What does the 'T' in the TIME framework for wound bed preparation stand for?
- Tissue management (Correct answer)
- Temperature assessment
- Treatment planning
- Topical therapy
Correct answer: Tissue management
The TIME acronym stands for Tissue management, Infection/Inflammation control, Moisture balance, and Edge of wound advancement.
Question 2: Which type of tissue in the wound bed is described as yellow, stringy, and non-viable?
- Granulation tissue
- Slough (Correct answer)
- Eschar
- Epithelial tissue
Correct answer: Slough
Slough is yellow, tan, or grey stringy non-viable tissue that must be removed to allow wound healing to progress.
Question 3: The primary goal of wound bed preparation is to:
- Eliminate all bacteria from the wound
- Create an optimal environment to support healing (Correct answer)
- Remove all moisture from the wound surface
- Promote scar tissue formation
Correct answer: Create an optimal environment to support healing
Wound bed preparation aims to create the optimal wound environment by addressing tissue, infection, moisture, and edge factors to support and accelerate healing.
Question 4: Which component of the TIME framework specifically addresses wound exudate management?
- T - Tissue management
- I - Infection/Inflammation
- M - Moisture balance (Correct answer)
- E - Edge of wound
Correct answer: M - Moisture balance
The 'M' in TIME stands for Moisture balance, which involves managing exudate levels to maintain a moist but not macerated wound environment.
Question 5: Black, hard, adherent necrotic tissue found in a wound bed is known as:
- Slough
- Fibrin
- Eschar (Correct answer)
- Gangrene
Correct answer: Eschar
Eschar is black, leathery, hard, and tightly adherent necrotic tissue that typically requires debridement before wound healing can progress.
Question 6: In the TIME acronym, the 'E' refers to:
- Exudate control
- Edge of wound advancement (Correct answer)
- Enzymatic debridement
- Epithelial tissue removal
Correct answer: Edge of wound advancement
The 'E' in TIME refers to the Edge of wound, ensuring wound margins are advancing and that epibole or other barriers to epithelialization are addressed.
Question 7: The primary rationale for maintaining a moist wound environment during wound bed preparation is to:
- Prevent bacterial growth by drying the wound surface
- Facilitate cell migration and preserve growth factor activity (Correct answer)
- Promote eschar formation as a protective barrier
- Reduce total exudate production
Correct answer: Facilitate cell migration and preserve growth factor activity
A moist wound environment supports keratinocyte and fibroblast migration, preserves growth factors, and prevents cell death at the wound surface.
CWCA Wound Bed Preparation 1
What does the 'T' in the TIME framework for wound bed preparation stand for?