Effective, cost-efficient and patient-focused management of wound exudate continues to present unique challenges to nurses. Competence in managing patients with problematic levels of exudate requires a sound knowledge in both identifying and addressing the underlying causes of excessive exudate. Additionally, it is important to acquire supporting clinical skills including holistic assessment, accurate record keeping and effective dressing selection. There is no one, simple answer to the problems caused by excessive exudate, but as nurses become more knowledgeable about identifying and managing its causes alongside the availability of a greater range of management options, care and patient outcomes should improve.