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

Which sign is commonly associated with osteomyelitis?

1. Itchy skin around the wound

2. Exposed bone within the wound

3. Rapidly closing wound edges

4. Dryness surrounding the wound

The correct answer is: Exposed bone within the wound

Exposed bone within the wound is a commonly associated sign of osteomyelitis, a serious infection of the bone. In osteomyelitis, the infection can lead to necrosis (death of tissue) and if the infection is severe enough or chronic, it can result in the exposure of bone tissue through the wound. This finding indicates a deep-seated infection and is a critical sign that healthcare providers look for during the assessment of a wound suspected to involve the underlying bone. Other signs associated with osteomyelitis may include localized pain, swelling, redness, or drainage from the wound. However, the presence of exposed bone is particularly significant in confirming a diagnosis of osteomyelitis, as it typically suggests a direct involvement of the bone by the infection. This clinical finding is a vital indicator when creating a treatment plan which may include surgical intervention and antibiotics to address both the infection and any necrotic tissue.