NURS 5354 Final Exam Questions With Correct Answers
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Course
NURS 5354
Institution
NURS 5354
.
What size suture would you use for the face? - answer5-0 or 6-0
What size suture would you use for the scalp? - answer4-0
What size suture would you use for the upper body? - answer4-0
What size suture would you use for the hand? - answer4-0 or 5-0
What size suture would you use for the lowe...
BRIGHTSTARS EXAM STUDY SOLUTIONS 8/15/2024 2:05 PM
NURS 5354 Final Exam Questions With
Correct Answers
What is a single suture strand called? - answer✔✔Monofilament; more resistant to harboring
microorganisms.
What are several filaments twisted or braided together called? - answer✔✔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? - answer✔✔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? - answer✔✔Two types: Natural-Surgical silk
Synthetic-Nylon (Ethilon) or Polyprolene (Prolene)
How do you determine the diameter of a suture? - answer✔✔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? - answer✔✔5-0 or 6-0
What size suture would you use for the scalp? - answer✔✔4-0
What size suture would you use for the upper body? - answer✔✔4-0
What size suture would you use for the hand? - answer✔✔4-0 or 5-0
What size suture would you use for the lower body? - answer✔✔4-0
What size suture would you use over a joint? - answer✔✔4-0
What suture pattern would be used for a laceration with irregular edges? - answer✔✔Interrupted
What suture pattern is best for high tension wounds, palms/feet or over joint areas? -
answer✔✔Horizontal mattress
, BRIGHTSTARS EXAM STUDY SOLUTIONS 8/15/2024 2:05 PM
What suture pattern is best for loose/thin skin? - answer✔✔Vertical mattress
What suture pattern would be used on lacerations with low risk for infection and low wound
tension? - answer✔✔Continuous
How far apart should two sutures be from one another? - answer✔✔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? - answer✔✔4-5 days
When should sutures be removed from the scalp? - answer✔✔10-14 days
When should sutures be removed from the upper body? - answer✔✔7-10 days
When should sutures be removed from the hand? - answer✔✔7-10 days
When should sutures be removed from the lower body? - answer✔✔10-14 days
When should sutures be removed over joints? - answer✔✔14-21 days
Consult/referral should be done for...? - answer✔✔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? - answer✔✔Tape, adhesives or staples
What needs to be documented/coded when suturing? - answer✔✔Lesion location, lesion size,
benign/malignant (discuss path report), and closure.
What needs to be documented for wound repair? - answer✔✔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? - answer✔✔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? - answer✔✔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?)
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