Which action is not appropriate when cleaning an exudating wound?

• A. Increase the frequency of dressing changes
• B. Use Dakin's solution for cleaning
• C. Use dressing material with more absorbing capacity
• D. Use petrolatum-based skin protectant

Answer: (B)

Not appropriate is using a harsh antiseptic like Dakin's solution. Dakin's contains sodium hypochlorite, which is cytotoxic and can damage healthy tissue needed for healing, including granulation tissue and fibroblasts. That kind of tissue damage can slow epithelialization and prolong the repair process in an exudating wound. The goal in cleaning is to remove debris and excess exudate without harming viable tissue, often using gentle cleansing with saline or clean water. To manage the moisture, use dressings with high absorbency and protect surrounding skin with a petrolatum-based barrier to prevent maceration. Frequent dressing changes can be part of managing heavy exudate, but the key point is avoiding cytotoxic cleaners that impede healing.