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

In which scenario would a patient with calciphylaxis be focused on debridement?

1. When they have severe pain

2. When the patient is stable

3. When there are signs of infection

4. When lesions are not healing

The correct answer is: When the patient is stable

The focus on debridement in a patient with calciphylaxis is primarily linked to the overall condition and stability of the patient. When a patient is stable, it indicates that their vital signs are within normal limits, and they are not experiencing significant systemic distress. In this stable state, debridement can be effectively performed to remove necrotic tissue and facilitate healing of the affected areas. The procedure aims to promote granulation tissue formation, thereby improving the chances of recovery. In contrast, scenarios such as severe pain would likely necessitate pain management before or instead of focusing on debridement to ensure patient comfort and safety. Signs of infection could require immediate medical intervention, possibly necessitating antibiotics and other treatments prior to any surgical procedures like debridement. Lastly, if lesions are not healing, it signals potential complications that also need to be addressed, possibly considering alterations in treatment plans before proceeding to debridement. Thus, a stable patient setting allows for a more favorable environment to approach debridement as a viable treatment option in calciphylaxis.