Certified Wound Ostomy Nurse (CWON) Practice Test

What type of supportive care is essential in treating sickle cell ulcers?

1. Physical therapy only

2. Systemic edema and nutritional support

3. Strict bedrest without movement

4. Use of hot compresses

The correct answer is: Systemic edema and nutritional support

The correct response highlights the importance of systemic edema and nutritional support in the management of sickle cell ulcers. These ulcers are particularly susceptible to complications due to the underlying pathophysiology of sickle cell disease, which includes vasculopathy and impaired circulation. Edema is common in sickle cell patients, and addressing this can significantly improve healing. Nutritional support also plays a critical role because adequate nutrition, including hydration and specific nutrients, is essential for tissue repair and overall health. Proper nutritional intake can promote better blood flow and improve immune function, which are crucial for ulcer healing. In contrast, while other care options may contribute in limited ways—physical therapy can aid in mobility and rehabilitation, strict bedrest might decrease strain on the ulcer, and hot compresses can provide temporary relief—none of these directly address the multifaceted needs linked to systemic edema or nutritional deficiencies, which are vital for managing sickle cell ulcers effectively.