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

Which types of wounds are sustained release silver dressings limited to?

1. Wounds with low bacterial load

2. Wounds at high risk for infection or demonstrating critical colonization

3. Wounds with necrotic tissue

4. Superficial wounds

The correct answer is: Wounds at high risk for infection or demonstrating critical colonization

Sustained release silver dressings are specifically designed to combat infection in wounds that are at high risk or already demonstrating signs of critical colonization. These dressings release silver ions over time, which possess antimicrobial properties effective in reducing bacterial presence and preventing infection. The use of silver dressings is most appropriate in wounds that exhibit criteria for infection or have significant risk factors, such as compromised blood supply or existing bacterial presence. In contrast, wounds with low bacterial load may not require such a potent antimicrobial treatment, making the use of silver dressings excessive. Wounds with necrotic tissue may require debridement or other interventions before the application of silver dressings, as necrotic tissue itself can harbor bacteria and complicate healing. Superficial wounds, while they may benefit from silver dressings in certain cases, generally do not possess the same level of risk for infection, thus making these dressings unnecessary in most instances.