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

What should be monitored for in a myocutaneous flap postoperatively?

1. Temperature changes at the wound site

2. Signs of ischemia and vasocongestion

3. Fluid leakage from the wound

4. Reduction in pain levels

The correct answer is: Signs of ischemia and vasocongestion

Monitoring for signs of ischemia and vasocongestion is crucial in the postoperative care of a myocutaneous flap. Ischemia can indicate a lack of blood supply to the tissue, which can jeopardize the viability of the flap. Signs of ischemia may include changes in color (pale or dusky appearance), diminished capillary refill, and the presence of coldness in the flap area. Vasocongestion, the accumulation of blood in the vascular compartment, may also be monitored, as it can lead to swelling and further complications if not addressed. The identification of these signs is vital for preventing flap failure, allowing for timely interventions to restore blood flow or manage vascular complications. By focusing on ischemia and vasocongestion, healthcare providers can ensure the flap remains healthy and functional, optimizing healing and recovery outcomes for the patient.