Certified Wound Ostomy Nurse (CWON) Practice Test

What concern arises from using occlusive dressings on infected wounds?

1. Occlusive dressings can promote excessive moisture

2. Air may limit the infection if anaerobic

3. Occlusive dressings can cause tissue necrosis

4. It can lead to increased pain

The correct answer is: Air may limit the infection if anaerobic

The use of occlusive dressings on infected wounds raises specific concerns. In the context of infected wounds, the primary issue with occlusive dressings is that they can trap moisture and bacteria, creating an environment that may escalate the infection rather than control it. While the idea that air may limit infection in anaerobic conditions seems plausible, the actual concern is more about the inability of the dressing to adequately manage the secretions and the potential culture of bacteria under the covering, which could lead to worsened infection. The layered occlusive nature may inhibit the standard drainage of exudate, which is crucial in a healing process, especially in the presence of infection. So, the significant concerns with occlusive dressings include promoting a moist environment that can contribute to bacterial growth, rather than limiting the infection through air exposure. The focus should be on allowing for drainage and air circulation to prevent the exacerbation of the wound condition.