National Physical Therapy Examination (NPTE) Practice Exam

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When should a wound be assessed for necrotic tissue?

During every dressing change
Only if there are signs of infection
At the initial consultation only
Before any type of wound closure procedure

The correct answer is: During every dressing change

A wound should be assessed for necrotic tissue during every dressing change because necrosis can develop or change rapidly, affecting the healing process. Regular assessments allow healthcare providers to monitor the wound's condition continuously, ensuring that any necrotic tissue is identified and managed promptly. This is critical for preventing infection and promoting proper healing, as necrotic tissue can harbor bacteria and delay recovery. Constant evaluation helps in making informed decisions about treatment, including debridement if necessary, and adapting care strategies based on the current state of the wound. By assessing at each dressing change, the clinician can determine whether the treatment plan is effective or if adjustments are needed based on the wound's progression.