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

What consideration must be taken into account before applying skin grafts?

1. Must ensure the wound is covered with a moist dressing

2. May inhibit some wound contraction

3. Should be applied only under local anesthesia

4. Must be performed in a sterile environment

The correct answer is: May inhibit some wound contraction

When considering skin grafts, it is essential to understand that they may inhibit some wound contraction, which is a crucial factor in the healing process. Wound contraction refers to the natural process that occurs as the edges of a wound pull together to promote healing. This is particularly significant in deeper wounds or burns. A skin graft can effectively cover a wound, but it also affects the normal contraction process, potentially leading to complications if not carefully managed. Using a graft can alter the dynamics of healing; therefore, healthcare providers must evaluate how the graft may impact the wound's ability to heal through contraction. This understanding is vital when deciding on the appropriateness of a skin graft and when planning post-operative care. While other considerations, such as ensuring a moist dressing, performing the procedure in a sterile environment, and administering anesthesia, are important aspects of preparing for skin grafts, the impact on wound contraction specifically highlights an important healing dynamic that must be accounted for in the overall treatment plan.