Wound Care Certification Exam Wound Care Certification Debridement Methods and Indications 3

Question 1

Which dressing type BEST supports autolytic debridement?

Accepted Answer

Hydrocolloid or hydrogel dressings

Answer

Hydrocolloid and hydrogel dressings maintain a moist environment that supports the body's own enzymes in liquefying and separating necrotic tissue.

Question 2

Autolytic debridement is CONTRAINDICATED in which situation?

Accepted Answer

Clinically infected wound requiring rapid debridement

Answer

Autolytic debridement is too slow for clinically infected wounds, where rapid debridement and infection control are necessary.

Question 3

Which enzymatic debriding agent is currently FDA-approved for wound debridement in the United States?

Accepted Answer

Collagenase (Santyl)

Answer

Collagenase (Santyl) is the only FDA-approved enzymatic debriding agent currently available in the United States.

Question 4

Collagenase (Santyl) should NOT be used concurrently with:

Accepted Answer

Silver-containing dressings or povidone-iodine

Answer

Heavy metals such as silver and antiseptics like povidone-iodine inactivate collagenase, reducing its enzymatic effectiveness.

Question 5

Wet-to-dry gauze debridement is classified as which type of debridement?

Accepted Answer

Non-selective mechanical debridement

Answer

Wet-to-dry dressings are non-selective mechanical debridement because they remove both necrotic and viable tissue as the dressing dries and adheres.

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