Wound Care Certification Wound Bed Preparation Techniques Flashcards
7 cards from real Wound Care Certification Exam practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
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Which component of the TIME framework specifically addresses the moisture balance in the wound environment?
Answer: M – Moisture balance
The 'M' in TIME stands for Moisture balance, targeting excess exudate or desiccation that impairs healing.
A wound with hyperkeratotic edges fails to advance despite good wound bed preparation. What is the MOST appropriate next intervention?
Answer: Debride the wound edges mechanically or chemically
Hyperkeratotic or rolled wound edges must be debrided to stimulate edge epithelial cell migration and wound closure.
When using the moist wound healing principle, which dressing is MOST appropriate for a dry, necrotic wound to facilitate autolytic debridement?
Answer: Hydrogel dressing
Hydrogel dressings donate moisture to dry necrotic tissue, promoting autolytic debridement.
A patient's wound has critical colonization. Which clinical sign BEST distinguishes this from frank infection?
Answer: Stalled healing with increased exudate but no systemic signs
Critical colonization presents with stalled healing and increased exudate without systemic inflammatory response, unlike frank infection.
Which type of debridement is CONTRAINDICATED in a patient on warfarin therapy with a vascular wound?
Answer: Sharp/surgical debridement
Sharp debridement carries high bleeding risk in anticoagulated patients and is contraindicated unless in a controlled surgical setting.
In wound bed preparation, biofilm management is critical. Which intervention is MOST effective at disrupting mature wound biofilm?
Answer: Mechanical debridement combined with antimicrobial dressings
Mature biofilm requires physical disruption through mechanical debridement followed by antimicrobial therapy to prevent rapid reformation.
A wound clinician uses negative pressure wound therapy (NPWT) as part of wound bed preparation. What is the PRIMARY mechanism by which NPWT prepares the wound bed?
Answer: It removes excess exudate and promotes granulation tissue formation
NPWT removes excess exudate, reduces edema, and promotes granulation tissue formation, creating a favorable wound bed for healing or grafting.