Certified Wound Ostomy Nurse (CWON) Practice Test

How can the extended granulation phase be managed effectively?

1. Providing more topical antibiotics

2. Monitoring nutritional and perfusion status

3. Prolonging the dressing change interval

4. Avoiding moisture on the wound

The correct answer is: Monitoring nutritional and perfusion status

Managing the extended granulation phase effectively involves closely monitoring nutritional and perfusion status. Adequate nutrition is essential for optimal wound healing, as it provides necessary building blocks, including proteins, vitamins, and minerals that facilitate tissue repair and regeneration. Additionally, ensuring proper perfusion is crucial, as it ensures that oxygen and nutrients are delivered to the wound area efficiently. Poor perfusion can lead to impaired healing, making it important for a wound care specialist to assess and address any underlying circulation issues that could hinder recovery. Other approaches, such as providing topical antibiotics, may not necessarily address the root causes of delayed healing during this phase and might not contribute significantly to granulation tissue formation. Adjusting dressing change intervals or avoiding moisture might sometimes help in specific situations, but without the foundational support of nutrition and adequate blood flow, these measures alone may not suffice for effective management of the granulation phase. Thus, monitoring the nutritional and perfusion status provides a comprehensive approach to support the healing process during the extended granulation phase.