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

What is a key management strategy when dealing with an extended granulation phase?

1. Increasing physical activity

2. Reducing protein intake

3. Monitoring nutritional and perfusion status

4. Applying excessive moisture to the wound

The correct answer is: Monitoring nutritional and perfusion status

Monitoring nutritional and perfusion status is a crucial management strategy during an extended granulation phase. Granulation tissue formation is an essential part of wound healing, as it involves the growth of new connective tissue and blood vessels to fill in the wound. Proper nutrition, particularly adequate protein intake, alongside good perfusion, supports this process. When a wound is in the granulation phase, the body requires increased nutrients and adequate blood flow to facilitate healing. If nutritional deficiencies or poor perfusion are present, they can impede the formation of healthy granulation tissue, potentially prolonging the healing process. Therefore, assessing both nutrition and perfusion allows for timely interventions, ensuring that the patient receives the support necessary for optimal wound healing. In contrast to the correct option, increasing physical activity may not address the underlying issues related to impaired granulation and could even be counterproductive if it leads to increased tissue stress. Reducing protein intake is detrimental, as protein is vital for tissue repair and regeneration during healing. Applying excessive moisture to the wound does not contribute to granulation tissue formation either; moisture balance is important, but excessive moisture could lead to maceration of surrounding tissue rather than promoting healthy granulation. Hence, focusing on monitoring nutritional and perfusion status provides a