Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

How should deep tissue injuries be managed initially?

1. By allowing them to debride naturally

2. With pressure redistribution and shear reduction

3. By applying antiseptics immediately

4. By increasing mobility

The correct answer is: With pressure redistribution and shear reduction

Managing deep tissue injuries requires a key focus on pressure redistribution and shear reduction because these injuries typically arise from prolonged pressure and friction forces that damage the underlying tissues without breaking the skin. The immediate goal in the management of these injuries is to alleviate pressure on the affected area to prevent further tissue damage and support healing. By redistributing pressure, healthcare providers can reduce the risk of worsening the injury or developing additional complications, such as secondary ulcers. Shear reduction is also crucial, as shear forces can exacerbate tissue damage beneath the skin surface. Other methods, such as allowing the wound to debride naturally, do not address the immediate issue of pressure, and using antiseptics may not be appropriate as the injury is often closed and can further irritate the tissue. Increasing mobility may not be practical or safe for patients with significant injuries, as it could increase pressure on the affected areas. Therefore, pressure redistribution and shear reduction stand out as necessary initial management strategies for deep tissue injuries.