Exam (elaborations)
Sutures, Wounds & Drains (1)
Sutures, Wounds & Drains (1)
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Sutures, Wounds & Drainskeratin - ANS-Identify the primary substance that composes a layer of the epidermis, is
responsible for hardening nails and hair, and protects the body from fluid loss and invasion by
pathogens?
selection of wound closure materials, dressings and drains - ANS-There are many factors that
influence surgical wound healing. Some are helpful, and some are beyond the scope of the
surgical team. Select the response below that reflects a factor with high influence over wound
healing and is within the control of the surgical team.
inflammatory phase - ANS-Cosmetic elective plastic surgery, on healthy patients, is based on
the expectations that healthy healing and ideal cosmesis will be achieved. On which phase or
phases of healing is considerable emphasis placed during the procedure?
unknown interruption in the normal healing process during proliferative and remodeling phases -
ANS-A 24-year-old female sought the consult of a plastic surgeon to repair a large 2-year-old
surgical scar on her right leg that was healed but remained darkly pigmented, uneven, and
raised. The plastic surgeon reviewed the operative report from the patient's prior surgery, which
revealed an uneventful procedure, wound classification 1, closure with uninterrupted 4-0 nylon,
and no drain. The underlying cause of the uneven healing was probably due to?
delayed primary sutured closure - ANS-A 62-year-old man had surgery 6 days ago for a
ruptured diverticula. He is back in the OR for a debridement and washout. The patient's fever
has subsided, and the drainage is clear. The surgeon will schedule the patient to return to the
OR in 3 days for?
contaminated wound, classification 3 - ANS-A 60-year-old man had surgery 6 days ago for a
ruptured diverticula. What was the wound classification at the time of his emergency surgery?
infected wound, classification 4 - ANS-A patient recently operated on for a ruptured appendix
had a temperature of 103 degrees F and returned to the OR for a debridement and washout of
purulent drainage from his wound on postoperative day 3. what was the wound classification at
the time of his debridement and washout surgery?
the patient should bathe or shower the night before surgery with chlorhexidine gluconate (CHG)
- ANS-Surgical site infections (SSIs) account for 14% to 16% of all hospital-acquired infections.
The surgical team is responsible for understanding the factors that contribute to SSIs and
preventive measures. Which of the following is a true statement about preparation of the
patient?
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