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

What is an important treatment option for venous ulcers?

1. High-dose antibiotics

2. Compression therapy

3. Increased intake of caffeine

4. Long periods of immobility

The correct answer is: Compression therapy

Compression therapy is an essential treatment option for venous ulcers due to its ability to improve venous return and decrease venous pressure in the lower extremities. This therapeutic approach helps to reduce swelling, promotes healing by enhancing blood flow, and aids in the closure of the ulcer. The underlying mechanism involves the application of pressure to the affected limb, which helps to limit the pooling of blood in the veins and supports the skin and underlying tissues. Effective compression therapy can take various forms, including compression bandages, stockings, or wraps, customized to the patient’s needs and the severity of the ulcer. By appropriately managing venous hypertension, compression therapy not only facilitates quicker healing of existing ulcers but also reduces the risk of new ulcers developing. Other treatment options mentioned do not effectively address the underlying mechanisms of venous ulcers. High-dose antibiotics may be useful if there is an infection, but they do not address the venous insufficiency that often leads to the formation of ulcers. Increased caffeine intake has no supportive evidence in promoting healing for venous ulcers, and long periods of immobility can exacerbate issues related to venous stasis and hinder the healing process.