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

What is a recommended guideline for managing painful wounds?

1. Using wet to dry dressings

2. Applying cold compresses for pain relief

3. Premedicating before dressing changes

4. Using adhesive tape without dressing

The correct answer is: Premedicating before dressing changes

Premedicating before dressing changes is often recommended for managing painful wounds because it helps alleviate discomfort that patients may experience during the dressing change process. Pain management is a critical component of wound care, and when patients are prepared with analgesics before they undergo potentially painful procedures, such as changing a dressing, they can experience reduced anxiety and discomfort. Administering pain relief beforehand can significantly improve a patient's overall experience and compliance with treatment, making it an essential practice in wound management. Adequate pain control can lead to better healing outcomes, as patients may be more willing to participate actively in their care when they are not overwhelmed by pain. Other methods, like wet to dry dressings, may not effectively manage pain and can sometimes cause additional discomfort as they adhere to the wound. Applying cold compresses might provide temporary relief but is not typically a comprehensive strategy for pain management during dressing changes. Finally, using adhesive tape without a dressing offers no protective or absorptive benefit, potentially leading to increased pain and infection risk for the wound. Thus, premedicating is a well-founded approach that can ensure a more comfortable and effective wound care experience.