Which statement about a moist wound healing environment for stage II/III pressure injuries is true?

• A. Maintains a moist environment that promotes healing.
• B. Keeps wound dry to prevent maceration.
• C. Saturated saline environment.
• D. Overly wet environment with pooling fluid.

Answer: (A)

Maintaining a moist wound bed is essential because it supports cell migration, granulation, and autolytic debridement, all of which speed healing for stage II/III pressure injuries. A properly moist environment protects wound tissues from drying out, reduces pain, and helps re-epithelialization without drying the surrounding skin.

Keeping the wound dry to prevent maceration misses the point for these wounds, since complete dryness slows healing and can delay closure. A saturated saline environment implies the wound is continuously flooded, which can lead to maceration of surrounding skin and an increased risk of infection. An overly wet environment with pooling fluid likewise promotes maceration and tissue breakdown around the wound, undermining healing.