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

What describes the appearance of a myocutaneous flap showing vasocongestion?

1. A pale and dry appearance

2. Healthy pink and well-vascularized

3. Dark red or purple coloration

4. A thin, translucent appearance

The correct answer is: Dark red or purple coloration

The appearance of a myocutaneous flap showing vasocongestion is best described as having a dark red or purple coloration. Vasocongestion occurs when blood flow to the area is increased and not adequately drained, leading to an accumulation of blood. This condition results in heightened vascularity and engorgement of blood vessels, which manifests as a dark red or purple tint in the tissue. In contrast, the other options represent different states of tissue appearance. A pale and dry appearance might indicate ischemia or low blood supply rather than vasocongestion. A healthy pink and well-vascularized flap would be indicative of proper blood flow and oxygenation, not congestion. Lastly, a thin, translucent appearance could suggest a lack of adequate tissue or edema, but it does not correlate with the congestive state being investigated. Understanding these appearances is crucial for assessing the viability of flaps in clinical practice.