Sutures, Wounds & Drains
*clean the wound daily with soap and water
*change dressings as instructed by your nurse or physician
*Take showers; do not swim or put your wound under water
*keep your physician visit as planned - ANS-In post discharge home care of the postoperative
patient, which statements reflect best practice by the patient?
*creating mechanical tension on the tissues and pulling wound edges together
*causing macro-deformation and wound contraction - ANS-A 70-year-old male patient was fitted
with a negative-pressure wound therapy system (NPWT), also called vacuum-assisted closure,
after his most recent surgical wound debridement. This device works by?
*increases the ability of the blood to carry oxygen to the tissues
*restores cells and kills bacteria that thrive without oxygen - ANS-A 76-year-old male patient has
been approved as a candidate for hyperbaric oxygenation as a management therapy for his
chronic sacral wound. He responded well to his surgical debridement and the nurse is planning
to explain the next course of therapy. He will describe to him how hyperbaric oxygenation.
*positive wound cultures obtained from the deepest accessible source of wound drainage
*Positive diagnosis of the SSI by the surgeon or attending physician - ANS-Infection control and
prevention surveillance was underway in the cardiac ICU because of an alarming prevalence of
sternal wound infections. The infection preventionist and perioperative clinical nurse specialist
reviewed the criteria in order to define the SSI and develop strategies for further investigation
and prevention. The infectious signs and symptoms arose on postoperative day 2 with edema,
redness and purulent exudates that appeared to be isolated to the subcutaneous plane above
the sternum. What two important criteria must be met to conclusively define this SSI?
*Where the purulent drainage comes from, superficial or deep
*Where the positive wound culture comes from, superficial or deep
*Whether the wound dehisces and/or is deliberately opened by a surgeon
*The diagnosis by the surgeon or attending physician - ANS-Which of the criteria below are
appropriate when determining whether an incisional SSI is superficial or deep?
adhesion - ANS-What term represents a fibrous band between serous membranes that can
cause obstructions and subsequent surgical emergencies?
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?
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
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