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

Which nursing consideration is crucial for managing acute wounds post-operatively?

1. Hydration and controlling edema

2. Immediate resumption of heavy activity

3. Applying ice to the surgical site

4. Restricting oral intake

The correct answer is: Hydration and controlling edema

Hydration and controlling edema are essential nursing considerations for managing acute wounds post-operatively because they directly influence the healing process. Proper hydration supports cellular function and metabolism, ensuring that nutrients and oxygen are efficiently delivered to the wound site. This is critical for promoting tissue repair and preventing complications such as infection. Controlling edema is equally vital as excessive swelling can cause increased pressure on tissues and hinder circulation, potentially leading to delayed healing or tissue ischemia. By managing fluid levels and promoting circulation through elevation or compression as necessary, healthcare providers can enhance the patient’s recovery and minimize discomfort. The other options do not effectively support the optimal healing environment for post-operative wounds. Resuming heavy activity too soon can increase stress on healing tissues and lead to complications, applying ice may not be appropriate for all types of surgical wounds, and restricting oral intake may not be necessary unless specific surgical procedures dictate it.