CWON Practice Questions - WOCNCB Certified Wound Ostomy Nurse Exam

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A heel wound is covered by dry, adherent, intact black eschar without erythema, fluctuance, or drainage in a patient with poor perfusion. What is the best initial action?

Keep the eschar stable and protect the heel while assessing perfusion Debride aggressively until a bleeding wound bed is reached Stage it as a Stage 2 pressure injury Apply a hydrogel solely to soften the eschar

Correct Answer:

Keep the eschar stable and protect the heel while assessing perfusion

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