Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

How long should total contact casting typically be left on?

1. 24 hours

2. 1-2 days

3. 3-7 days

4. More than 7 days

The correct answer is: 3-7 days

Total contact casting is a treatment method commonly used for offloading pressure from ulcers on the foot, particularly in patients with diabetes. The correct answer indicates that total contact casts should typically remain in place for a duration of 3 to 7 days. This timeframe allows for extended pressure relief while ensuring that the condition of the wound can be assessed adequately. New tissue may form or inflammatory responses might occur in this period, and leaving the cast on too long can sometimes lead to complications such as skin breakdown or infection. Conversely, removing the cast too soon may not allow the wound sufficient time to heal properly. The selected duration strikes a balance between providing the necessary pressure relief and facilitating regular wound checks for healing progress. Regular evaluations can guide decisions regarding wound care and additional interventions if needed.