Wound Care Certified Certification (WCC) Practice Exam

What is the best containment method for high output fistulas with odor?

1. Regular dressings

2. Ostomy pouching

3. Compression bandaging

4. Hydrocolloid dressings

The correct answer is: Ostomy pouching

The best containment method for high output fistulas with odor is ostomy pouching. This approach effectively manages the output and protects the surrounding skin from irritation caused by the continual drainage. Ostomy pouches are specifically designed to contain and manage output from the intestinal tract, minimizing potential leakage and odor, which is essential for patient comfort and hygiene. Ostomy pouches also provide a secure and odor-proof environment, which is particularly important for high output fistulas that may produce a larger amount of exudate. They are designed to adhere well to the skin, thus reducing the chance of breakdown around the fistula site, allowing for a more reliable and longer-lasting solution compared to other dressing methods. Regular dressings and hydrocolloid dressings may not adequately contain the high volume of output and could lead to skin irritation and odor due to frequent changes and possible leakage. Compression bandaging is not applicable for this scenario, as it is typically used for controlling edema or venous insufficiency, rather than managing output from a fistula.