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

What is the primary concern with using occlusive dressings on an infected wound?

1. Increased moisture retention

2. Limiting air could worsen anaerobic infections

3. They promote greater blood flow

4. They decrease the wound temperature

The correct answer is: Limiting air could worsen anaerobic infections

Using occlusive dressings on an infected wound raises significant concerns, primarily due to the potential for exacerbating anaerobic infections. These infections thrive in environments lacking oxygen. When occlusive dressings are applied, they create a barrier that limits air exchange and can trap moisture and heat, creating an ideal environment for anaerobic bacteria to proliferate. By restricting oxygen access and maintaining higher moisture levels, these bacteria are less effectively controlled by the immune system and may lead to worsening infection. Therefore, in the context of managing infected wounds, it's critical to consider how dressing types can influence the wound environment, particularly with regard to oxygen availability. While factors such as moisture retention, blood flow, and wound temperature may relate to wound care, they do not specifically address the unique concerns associated with anaerobic infections that occlusive dressings can inadvertently promote. Understanding the dynamics of oxygen levels in wound healing is crucial for effective management and prevention of complications.