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

Which of the following is an indication for using skin grafts?

1. Opened wounds with minimal granulation

2. Small granulating wounds under 6 cm

3. Large granulating wounds where complete epithelialization is unlikely

4. Superficial abrasions requiring minimal coverage

The correct answer is: Large granulating wounds where complete epithelialization is unlikely

Skin grafts are primarily indicated for large granulating wounds where there is a significant concern that complete epithelialization will not occur through natural healing alone. Such wounds often have compromised blood supply or extensive tissue damage, making them less likely to heal fully without surgical intervention. By employing a skin graft, healthy tissue is brought to the area, promoting faster healing and coverage, reducing the risk of infection, and restoring function. The healing of these types of wounds can be complex, and the application of a skin graft aids in providing a stable and conducive environment for healing, as well as potentially improving aesthetics and function in the affected area. This becomes particularly critical in larger wounds, where the body might struggle to close the defect naturally. In contrast, openings with minimal granulation, smaller granulating wounds, or superficial abrasions may heal effectively with standard wound care and do not require the more invasive approach that a skin graft entails.