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

When are cultures indicated in wound care?

1. When using antiseptic solutions

2. When using topical antibiotic ointments or solutions

3. When the wound is clean

4. In all routine evaluations

The correct answer is: When using topical antibiotic ointments or solutions

Cultures are indicated in wound care primarily to identify the presence of specific pathogens that may be complicating the healing process. Taking a culture is essential when there is a high suspicion of infection, particularly when topical antibiotic ointments or solutions are being used. This is because if the wound is already showing signs of infection, knowing the exact organisms present can guide the selection of the most effective treatment. Using antiseptic solutions typically doesn't demand a culture, as these solutions are designed to reduce microbial load and manage infection proactively. A culture may not be necessary when the wound is clean, as this suggests a lower risk of infection. Additionally, cultures are not routinely taken during all evaluations unless explicitly indicated by the patient's signs or symptoms. Hence, identifying the wound environment and treatment practices helps determine when cultures should be performed.