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

What is the general approach to caring for sickle cell ulcers?

1. Immediate amputation

2. Vascular studies if chronic ischemia is suspected

3. Topical tanning ointments

4. Ignoring the ulcers if asymptomatic

The correct answer is: Vascular studies if chronic ischemia is suspected

The general approach to caring for sickle cell ulcers involves conducting vascular studies if chronic ischemia is suspected. Sickle cell disease can lead to various complications, including decreased blood flow and chronic ulceration due to the abnormal shape of red blood cells that can occlude blood vessels. If ulcers are present, it is important to assess the underlying blood flow to the area, which is why vascular studies, such as Doppler ultrasound, are critical in understanding the extent of ischemia and guiding treatment. This approach allows healthcare providers to implement appropriate management strategies based on the findings. For instance, if ischemia is confirmed, treatments may include improving circulation through wound care, hydration, pain management, or in some cases, surgical interventions. The other options do not reflect a standard or effective approach to managing sickle cell ulcers. Immediate amputation is not indicated in the early stages of ulcer management and is generally considered a last resort. Topical tanning ointments are not appropriate for ulcer care and may not provide the necessary treatment benefits. Ignoring asymptomatic ulcers does not align with best practices in wound management, as even asymptomatic ulcers require monitoring and may progress if not appropriately managed.