Certified Wound Care Nurse (CWCN) Practice Exam

Which treatment is most appropriate for a maturing scar to address hypertrophy?

1. Silicone polymer gel

2. Topical antibiotics

3. Hydrocolloid dressing

4. Adhesive bandages

The correct answer is: Silicone polymer gel

Silicone polymer gel is recognized as a highly effective treatment for managing hypertrophic scars. This type of gel works by providing a moist environment and a barrier to external factors, which helps regulate collagen synthesis and remodeling in the scar tissue. The silicone promotes hydration, reduces cell proliferation, and can help flatten and soften the scar over time. The other options do not specifically address the unique needs of hypertrophic scars. Topical antibiotics are primarily used to prevent or treat infections and do not contribute to the remodeling process of scar tissue. Hydrocolloid dressings are beneficial for surface wounds and provide moisture, but they lack the specific properties that silicone gels offer in the context of hypertrophic scarring. Adhesive bandages are typically used for minor cuts and abrasions and do not provide the therapeutic benefits needed for managing mature hypertrophic scars. Thus, for treating maturing scars with hypertrophy, silicone polymer gel stands out as the most appropriate choice due to its targeted action and proven efficacy in scar management.