American Board of Internal Medicine (ABIM) Certification Practice Exam

Which type of wound management strategy helps control exudate in pressure ulcer care?

1. Wet-to-dry dressings

2. Saline solution application

3. Antiseptic ointments

4. Hydrocolloid dressings

The correct answer is: Hydrocolloid dressings

The approach of using hydrocolloid dressings in pressure ulcer care is particularly effective in managing exudate due to their unique composition and properties. Hydrocolloid dressings form a gel-like substance when they come into contact with wound exudate, which allows them to absorb excess fluid while maintaining a moist wound environment. This moist environment is beneficial for healing as it can promote epithelialization and reduce pain during dressing changes. Additionally, the hydrocolloid's occlusive nature creates a barrier against bacteria, reducing the risk of infection while simultaneously minimizing changes to the dressing and trauma to the wound site. The combination of moisture balance and protection makes hydrocolloid dressings a superior choice for controlling exudate in the management of pressure ulcers. Other strategies, such as wet-to-dry dressings, tend to remove not only exudate but also healthy tissue upon removal, which can hinder healing. Saline solutions are often used for irrigation but do not provide the moisture retention or exudate absorption needed in wound management. Antiseptic ointments, while helpful in preventing infection, do not effectively manage exudate, which is crucial for pressure ulcer treatment.