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

What is a concern when using sustained release silver dressings?

1. They are safe for all types of wounds

2. They may cause allergic reactions

3. They pose a risk for bacteria resistance

4. They can harm good cells

The correct answer is: They pose a risk for bacteria resistance

The concern associated with using sustained release silver dressings primarily revolves around the risk of bacteria resistance. Silver has been widely used for its antimicrobial properties, making it effective against a range of bacterial infections. However, the prolonged use of silver can contribute to the development of resistant strains of bacteria, which may increase the risk of infections that are difficult to treat. This is particularly worrisome in wound care, where maintaining a balance between effectively managing infections and preventing resistance is crucial for patient safety. In contrast, while there are occasions when sustained release silver dressings can be beneficial for certain types of wounds, they are not universally safe for all wounds due to variations in healing needs and potential complications. Additionally, while allergic reactions can occur with many topical agents, they are not the primary concern with sustained release silver dressings compared to the issue of resistance. Lastly, while sustained release silver dressings can impact cellular activity, they are primarily intended to target pathogens rather than harm good cells directly. The emphasis lies on the overarching concern of promoting bacterial resistance, which can complicate future treatment options.