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Wound Dressings Challenge

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Wound Dressings Challenge

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Choose the best dressing for each scenario.

Created by

Jennifer Patton
Jennifer Patton
United States

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Wound Dressings Challenge
 

Wound Dressings ChallengeOnline version

Choose the best dressing for each scenario.

by Jennifer Patton
1

1. A patient has a stage II pressure injury with a shallow, pink wound bed. Which dressing is MOST appropriate?

2

2. A stage III pressure injury has moderate serosanguinous drainage. Which dressing is best?

3

3. A patient’s wound is dry, painful, and has necrotic tissue requiring autolytic debridement. Which is appropriate?

4

4. A surgical incision with minimal drainage should be covered with:

5

5. A burn patient has minimal amounts of exudate. Which dressing is best?

6

6. A wound culture identifies MRSA in a draining leg ulcer. Best dressing choice?

7

7. A deep diabetic foot ulcer with tunneling and heavy drainage requires:

8

8. A patient with a stage I pressure injury should receive:

9

9. A wound bed is 100% slough. Best dressing?

10

10. A patient has a wound with exposed bone. Which dressing is CONTRAINDICATED?

11

11. An arterial leg ulcer is dry and painful with little drainage. Which dressing is best?

12

12. A venous stasis ulcer is heavily draining. Best option?

13

13. A patient with fragile skin needs a dressing that will NOT cause skin tears on removal. What is best?

14

14. The wound is macerated due to excess moisture. Which dressing will correct moisture imbalance?

15

15. A wound requires frequent visualization but has no drainage. Best dressing?

16

Which dressing is MOST appropriate for a wound with copious exudate?

17

A dry, slough-covered wound requiring moisture and autolytic debridement should receive which dressing?

18

A patient has a clean, dry wound. Which dressing is best?

19

A wound with moderate exudate but no necrosis needs an absorbent dressing. Which is appropriate?

20

A deep wound cavity with exudate that must be packed should receive which dressing?

21

A nearly healed chronic wound with fragile skin requires a dressing that won't stick. What is best?

22

Which dressing is recommended for dry wounds with minimal exudate, especially to protect against friction?

Feedback

Hydrocolloids maintain moisture and protect shallow partial-thickness wounds. Films are too thin; alginates are for heavy drainage; wet-to-dry damages tissue.

Alginates absorb moderate-to-heavy drainage. Films are for dry wounds; hydrogels donate moisture; dry gauze doesn’t manage exudate.

Hydrogels donate moisture and support autolytic debridement of necrotic tissue.

Non-adherent dressings protect clean surgical incisions without sticking.

Silver foam provides antimicrobial coverage + absorbs some drainage.

Silver alginate both absorbs drainage and provides antimicrobial action.

Tunneling wounds require packing to prevent abscess formation; wet-to-moist gauze is appropriate.

Stage I = intact skin, need to protect, do NOT cover with moist dressings.

Enzymatic agents break down slough quickly when autolytic debridement is insufficient.

Hydrocolloids should NOT be used on exposed bone or tendon.

Hydrogels hydrate dry ischemic wounds and reduce pain.

Foam absorbs moderate-to-heavy exudate and protects fragile venous tissue.

Silicone dressings reduce medical adhensive–related skin injury.

Foam absorbs moisture while protecting periwound tissue.

Films allow visualization and are only appropriate for dry, superficial wounds.

Alginate dressings are highly absorbent and useful for heavily draining wounds.

Hydrogels donate moisture, soothe pain, and support debridement of slough/necrotic tissue.

Transparent films are for clean, dry wounds with minimal exudate

Foam has absorptive capacity and is used for clean, granulating wounds with minimal exudate

Hydrofiber can be used as a ribbon to pack deep cavities and it will absorb exudate.

Low-adherence dressings protect fragile skin and allow easy removal

Films are used for dry wounds with minimal drainage and to protect high-friction areas

 
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