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

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Prepare for the Wound, Ostomy and Continence Nurses Society Exam. Utilize flashcards and multiple choice questions with detailed explanations to enhance your readiness for the exam day!

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Which of the following indicates a potential deep tissue injury?

  1. Pain and temperature change

  2. Rapid heart rate

  3. Increased appetite

  4. Complete absence of sensation

The correct answer is: Pain and temperature change

A potential deep tissue injury is indicated primarily by pain and temperature change. This is because deep tissue injuries often start with localized pain that can suggest damage to the underlying tissue, even when the skin appears intact. Additionally, changes in temperature—either warmth or coolness—can signal underlying issues with circulation and damage to deeper layers of tissue. These symptoms are critical early warning signs that can help in the timely assessment and management of pressure injuries. The other options do not align with the typical early indicators of deep tissue injuries. While rapid heart rate might suggest stress or pain on a broader level, it is not specific to deep tissue injuries. Increased appetite may indicate a person's overall health and well-being, but does not provide clear insight into tissue condition. Finally, a complete absence of sensation might suggest a more advanced injury or nerve damage rather than being an early indicator of a deep tissue injury. This aligns with the assessment of skin and tissue integrity, emphasizing the need for careful evaluation of pain and temperature changes to identify potential deep tissue injuries early.