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

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What is a sign of impending deep tissue injury breakdown?

  1. Fever

  2. Change in skin color

  3. Increased blisters

  4. Loss of sensation

The correct answer is: Change in skin color

A change in skin color is a significant sign of impending deep tissue injury breakdown. This alteration can indicate that the underlying tissues are experiencing pressure, leading to ischemia. Specifically, the skin may present with areas of redness, purple, or even darker pigments, suggesting that the tissue beneath is lacking adequate blood supply. This color change typically occurs before more severe damage, such as blistering or loss of sensation, takes place, making it a critical early warning sign for healthcare providers to act promptly to prevent further injury. Recognizing this symptom allows for timely interventions that can mitigate the risk of progressing to more serious tissue damage.

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