Certified Wound Care Nurse (CWCN) Practice Exam 2025 – Complete Prep Resource

The choice of debridement and protection from trauma is appropriate for a patient with a lower extremity wound diagnosed as vasculitis. In cases of vasculitis, the primary concern is that blood vessel inflammation can lead to poor circulation and increased susceptibility to further injury or infection.

Debridement is necessary to remove any non-viable tissue from the wound, promoting a healthier healing environment. However, in conjunction with debridement, protecting the wound from trauma is critical because the inflamed tissue is already vulnerable. Providing a protective dressing can help shield the area from external forces that could worsen the condition or hinder healing.

Furthermore, options that include antibiotics may not be appropriate unless there is an evident infection, as vasculitis itself is primarily an inflammatory condition rather than an infectious one. Compression dressings and offloading might not be suitable in this context either, as they can exacerbate tissue inflammation and compromise blood flow, which is crucial for a patient dealing with vasculitis.

Thus, combining debridement with efforts to shield the wound from additional trauma effectively addresses both the immediate need for wound care and the overall management of the underlying vasculitis.