Certified Hospice and Palliative Assistant (CHPNA) Practice Test

What is the recommended therapy for stage II wounds?

1. Apply heat and perform daily cleaning

2. Relieve pressure and apply protective/occlusive dressings

3. Administer antibiotics and dress the wound

4. Keep the area exposed to air for better ventilation

The correct answer is: Relieve pressure and apply protective/occlusive dressings

The recommended therapy for stage II wounds focuses on relieving pressure and applying protective or occlusive dressings. Stage II wounds are characterized by partial-thickness loss of skin, which may present as a blister or shallow open sore that can cause pain and may lead to infection. Relieving pressure on the wound site is crucial because excessive pressure can hinder healing and exacerbate the damage to the tissue. This can involve using specialized cushions, repositioning the patient frequently, or employing other techniques to reduce stress on the affected area. Applying protective or occlusive dressings serves multiple purposes. These dressings help maintain a moist environment, which is conducive to healing, while also protecting the wound from external contaminants and reducing the risk of infection. Additionally, occlusive dressings can provide a barrier that prevents friction, a common issue that may complicate the healing process. Other options, although potentially relevant in different contexts, do not address the immediate and critical needs of stage II wounds as effectively. For instance, applying heat may not be advisable as it could increase swelling and discomfort, while keeping the area exposed to air may increase the risk of infection and does not support a moist healing environment. Administering antibiotics may be necessary in cases of infection, but it does not address