NURS 5354 Exam Questions With
Correct Answers
What |is |a |single |suture |strand |called? |- |✔Monofilament; |more |resistant |to |harboring
|microorganisms.
What |are |several |filaments |twisted |or |braided |together |called? |- |✔Multifilament; |They
|are |less |stiff, |have |greater |tensile |strength |but |fluid |may |be |absorbed |along |the |filament |to
|introduce |pathogens. |Infection |risk!
What |are |absorbable |sutures? |- |✔Two |types: |Natural-surgical |gut; |plain |or |surgical |gut
|chromic |(treated |with |chromium |salt)
Synthetic |polymers-Vicryl |(braided |suture) |or |monocryl |(monofilament)
What |are |non-absorbable |sutures? |- |✔Two |types: |Natural-Surgical |silk
| Synthetic-Nylon |(Ethilon) |or |Polyprolene |(Prolene)
How |do |you |determine |the |diameter |of |a |suture? |- |✔The |smaller |the |number, |the |larger |the
|strand.
Ex: |a |2-0 |is |larger |than |5-0 |suture.
What |size |suture |would |you |use |for |the |face? |- |✔5-0 |or |6-0
What |size |suture |would |you |use |for |the |scalp? |- |✔4-0
What |size |suture |would |you |use |for |the |upper |body? |- |✔4-0
What |size |suture |would |you |use |for |the |hand? |- |✔4-0 |or |5-0
,What |size |suture |would |you |use |for |the |lower |body? |- |✔4-0
What |size |suture |would |you |use |over |a |joint? |- |✔4-0
What |suture |pattern |would |be |used |for |a |laceration |with |irregular |edges? | - |✔Interrupted
What |suture |pattern |is |best |for |high |tension |wounds, |palms/feet |or |over |joint |areas? | -
✔Horizontal |mattress
What |suture |pattern |is |best |for |loose/thin |skin? |- |✔Vertical |mattress
What |suture |pattern |would |be |used |on |lacerations |with |low |risk |for |infection |and |low |wound
|tension? |- |✔Continuous
How |far |apart |should |two |sutures |be |from |one |another? |- |✔No |closer |than |2 |mm |in |a |fine
|plastic |closure. |The |distance |between |sutures |should |equal |half |the |total |distance |across
|the |incision.
When |should |sutures |be |removed |from |the |face? |- |✔4-5 |days
When |should |sutures |be |removed |from |the |scalp? |- |✔10-14 |days
When |should |sutures |be |removed |from |the |upper |body? |- |✔7-10 |days
When |should |sutures |be |removed |from |the |hand? |- |✔7-10 |days
When |should |sutures |be |removed |from |the |lower |body? |- |✔10-14 |days
, When |should |sutures |be |removed |over |joints? |- |✔14-21 |days
Consult/referral |should |be |done |for...? |- |✔Deep |wounds |of |the |hand |or |foot, |lacerations |of
|the |eyelid/lip/ear, |lacerations |involving |tendon, |nerves, |arteries, |bones |or |joints,
|penetrating |wounds |of |unknown |depth, |severe |crush |injuries, |severely |contaminated
|wounds |requiring |drainage, |wounds |for |which |the |patient |or |clinical |is |strongly |concerned
|about |cosmetic |outcome. |and |galea
What |are |other |methods |of |wound |repair/closure? |- |✔Tape, |adhesives |or |staples
What |needs |to |be |documented/coded |when |suturing? |- |✔Lesion |location, |lesion |size,
|benign/malignant |(discuss |path |report), |and |closure.
What |needs |to |be |documented |for |wound |repair? |- |✔laceration |length |and |location, |any
|neurovascular |damage |distal |to |the |injury, |laceration |clean |or |contaminated, |anesthetic
|medication |used, |how |the |wound |was |cleansed, |suture |size, |number |and |layer |sutured
|(skin, |dermis, |fascia) |and |discussion |of |potential |for |infection |or |impaired |function.
What |should |be |considered |for |post |procedural |care? |- |✔Cleansing, |antibiotics |(if
|needed), |use |of |steri-strips |after |suture |removal |to |decrease |wound |tension |and
|applying |sunscreen |to |the |area |for |at |least |6 |months |to |reduce |scarring.
What |history |should |be |obtained |with |laceration |injuries? |- |✔When |did |it |occur |(greater
|than |12-24 |hours)?
Where |did |it |occur |(dirty |vs. |clean)? |Any
| foreign |body?
What |was |the |mechanism |of |injury |(sharp, |blunt, |animal |bite, |human |bite, |puncture?) |What
| are |present |symptoms |and |care |prior |to |arrival?
Correct Answers
What |is |a |single |suture |strand |called? |- |✔Monofilament; |more |resistant |to |harboring
|microorganisms.
What |are |several |filaments |twisted |or |braided |together |called? |- |✔Multifilament; |They
|are |less |stiff, |have |greater |tensile |strength |but |fluid |may |be |absorbed |along |the |filament |to
|introduce |pathogens. |Infection |risk!
What |are |absorbable |sutures? |- |✔Two |types: |Natural-surgical |gut; |plain |or |surgical |gut
|chromic |(treated |with |chromium |salt)
Synthetic |polymers-Vicryl |(braided |suture) |or |monocryl |(monofilament)
What |are |non-absorbable |sutures? |- |✔Two |types: |Natural-Surgical |silk
| Synthetic-Nylon |(Ethilon) |or |Polyprolene |(Prolene)
How |do |you |determine |the |diameter |of |a |suture? |- |✔The |smaller |the |number, |the |larger |the
|strand.
Ex: |a |2-0 |is |larger |than |5-0 |suture.
What |size |suture |would |you |use |for |the |face? |- |✔5-0 |or |6-0
What |size |suture |would |you |use |for |the |scalp? |- |✔4-0
What |size |suture |would |you |use |for |the |upper |body? |- |✔4-0
What |size |suture |would |you |use |for |the |hand? |- |✔4-0 |or |5-0
,What |size |suture |would |you |use |for |the |lower |body? |- |✔4-0
What |size |suture |would |you |use |over |a |joint? |- |✔4-0
What |suture |pattern |would |be |used |for |a |laceration |with |irregular |edges? | - |✔Interrupted
What |suture |pattern |is |best |for |high |tension |wounds, |palms/feet |or |over |joint |areas? | -
✔Horizontal |mattress
What |suture |pattern |is |best |for |loose/thin |skin? |- |✔Vertical |mattress
What |suture |pattern |would |be |used |on |lacerations |with |low |risk |for |infection |and |low |wound
|tension? |- |✔Continuous
How |far |apart |should |two |sutures |be |from |one |another? |- |✔No |closer |than |2 |mm |in |a |fine
|plastic |closure. |The |distance |between |sutures |should |equal |half |the |total |distance |across
|the |incision.
When |should |sutures |be |removed |from |the |face? |- |✔4-5 |days
When |should |sutures |be |removed |from |the |scalp? |- |✔10-14 |days
When |should |sutures |be |removed |from |the |upper |body? |- |✔7-10 |days
When |should |sutures |be |removed |from |the |hand? |- |✔7-10 |days
When |should |sutures |be |removed |from |the |lower |body? |- |✔10-14 |days
, When |should |sutures |be |removed |over |joints? |- |✔14-21 |days
Consult/referral |should |be |done |for...? |- |✔Deep |wounds |of |the |hand |or |foot, |lacerations |of
|the |eyelid/lip/ear, |lacerations |involving |tendon, |nerves, |arteries, |bones |or |joints,
|penetrating |wounds |of |unknown |depth, |severe |crush |injuries, |severely |contaminated
|wounds |requiring |drainage, |wounds |for |which |the |patient |or |clinical |is |strongly |concerned
|about |cosmetic |outcome. |and |galea
What |are |other |methods |of |wound |repair/closure? |- |✔Tape, |adhesives |or |staples
What |needs |to |be |documented/coded |when |suturing? |- |✔Lesion |location, |lesion |size,
|benign/malignant |(discuss |path |report), |and |closure.
What |needs |to |be |documented |for |wound |repair? |- |✔laceration |length |and |location, |any
|neurovascular |damage |distal |to |the |injury, |laceration |clean |or |contaminated, |anesthetic
|medication |used, |how |the |wound |was |cleansed, |suture |size, |number |and |layer |sutured
|(skin, |dermis, |fascia) |and |discussion |of |potential |for |infection |or |impaired |function.
What |should |be |considered |for |post |procedural |care? |- |✔Cleansing, |antibiotics |(if
|needed), |use |of |steri-strips |after |suture |removal |to |decrease |wound |tension |and
|applying |sunscreen |to |the |area |for |at |least |6 |months |to |reduce |scarring.
What |history |should |be |obtained |with |laceration |injuries? |- |✔When |did |it |occur |(greater
|than |12-24 |hours)?
Where |did |it |occur |(dirty |vs. |clean)? |Any
| foreign |body?
What |was |the |mechanism |of |injury |(sharp, |blunt, |animal |bite, |human |bite, |puncture?) |What
| are |present |symptoms |and |care |prior |to |arrival?
