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

What initial step is important in managing vasculitic ulcers?

1. Applying a dry sterile dressing

2. Correcting causative factors

3. Using high-pressure wound therapy

4. Complete immobilization of the affected limb

The correct answer is: Correcting causative factors

The initial step in managing vasculitic ulcers revolves around addressing the underlying causative factors of the condition. Vasculitis is characterized by inflammation of the blood vessels, which can lead to compromised blood flow and subsequent tissue damage, resulting in ulcers. By correcting these causative factors—such as controlling any underlying autoimmune diseases, improving circulation, or managing associated systemic conditions—wound healing can be optimally supported. For instance, if the vasculitic ulcers are linked to an autoimmune disorder such as lupus or rheumatoid arthritis, treating the systemic condition can alleviate vascular inflammation, thus enhancing the chances of wound healing. Additionally, addressing factors that might contribute to poor circulation, like hypertension or diabetes, is essential for a holistic approach to treatment. While applying a dry sterile dressing may provide protection to the ulcer and promote cleanliness, it does not directly address the root causes of vasculitis. Likewise, utilizing high-pressure wound therapy does not target the underlying pathology of the vasculitis and may not provide the desired benefits for healing. Complete immobilization of the affected limb might be indicated in certain injuries or conditions but is not a foundational approach for managing vasculitic ulcers, which require systemic and localized interventions aimed at healing the underlying vascular inflammation. Therefore, correcting the underlying