Deck 21: Management of the Surgical Wound

Question 1

A(n) ________ suture is a continuous suture used to approximate the open ends of a lumen. It is traditionally used during an appendectomy to close the base of the appendix after the distal portion is removed.

A) interrupted
B) running
C) mattress
D) purse-string

Answer 1

D

Question 2

Surgical gut sutures are packaged in a(n) ______________ solution.

A) alcohol
B) saline
C) sterile water
D) polybutelate

Answer 2

A

Question 3

A free-tie suture attached to the end of a clamp is called a _________.

A) deep tie
B) clamp tie
C) tie on a passer
D) suture on a clamp

Answer 3

C

Question 4

_______________ is/are tubing through which retention sutures are threaded to prevent them from cutting into the patient's skin.

A) Penrose drain
B) Bolsters
C) Binders
D) Montgomery straps

Question 5

Load the needle holder ________ removing the entire needle suture combination from the package.

A) after
B) before
C) while
D) never

Question 6

When cutting sutures, use only ________ scissors. To cut the suture, open the scissors slightly. Use only the tips of the scissors to cut; never the midportion of the blades. Cut only when you can see what you are cutting.

A) tissue
B) bandage
C) sharp suture
D) Potts

Question 7

The ability of suture material to absorb fluid is called _______.

A) inert
B) tensile strength
C) enzymatic action
D) capillary action

Question 8

The ________ needle has a round body that narrows to a sharp point. It punctures tissue, making an opening for the body of the needle to follow. Its primary use is for suturing soft tissue.

A) blunt
B) tapered
C) cutting
D) spatula

Question 9

A ________ suture is a suture-needle combination designed to discharge the suture easily.

A) double-armed
B) spring-eye needle
C) swaged suture-needle combination
D) control-release

Question 10

Most commercial needles are now manufactured with the suture preattached. This is called a ________________ suture.

A) Swage
B) French eye
C) monofilament
D) braided

Question 11

The knot is the ________ part of the suture.

A) strongest
B) weakest
C) thickest
D) thinnest

Question 12

The process of suturing two tissue edges together is called __________.

A) approximation
B) ligation
C) stitching
D) locking

Question 13

______________ will contribute to the healing process of the surgical incision.

A) Surgical technique
B) Chronic disease
C) Nutritional status
D) All of the above

Question 14

Excess inflammation and serous discharge from the wound is a sign of surgical __________________.

A) site infection
B) incision healing
C) site dehiscence
D) site drainage

Question 15

___________ dressings are used to prevent or limit movement of the surgical wound during healing.

A) Flat
B) Pressure
C) Supportive
D) None of the above

Question 16

In areas where great strength is required, such as abdominal incisions, ________ sutures are used in conjunction with routine abdominal suture layers to add support to the closure.

A) retention
B) continuous
C) horizontal mattress
D) vertical mattress

Question 17

A monofilament suture is extruded from the package and _________.

A) stretched slightly
B) soaked in saline
C) soaked in antibiotic solution
D) coiled to increase tensile strength

Question 18

The ________ phase of wound healing is the proliferative stage. During this phase, fibroblasts synthesize collagen and other cell matrices.

A) substrate
B) lag
C) remodeling
D) second

Question 19

Which of the following is used to exsanguinate the limb before the pneumatic tourniquet is applied?

A) Cotton material (Webril)
B) Tourniquet cuff
C) Esmarch
D) Air bladder

Question 20

A suture that causes little or no bioactivity is said to be ________.

A) inert
B) control-released
C) active
D) bio-balanced

Question 21

A suture-needle combination containing a needle at each end of the suture is called a __________ suture.

A) double-armed
B) double-needle
C) double-threaded
D) double-hooked

Question 22

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Wound complications
b.Wound healing
c.Wound classification
Evisceration

Question 23

How to position the needle holder in relation to the suture needle depends on whether the ________ is right-handed or left-handed.

A) surgeon
B) surgical technologist
C) circulator
D) anesthesiologist

Question 24

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Suture material
b.Surgical needle characteristic
c.Suturing technique
Tapered

Question 25

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Wound complications
b.Wound healing
c.Wound classification
Inflammatory phase

Question 26

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Wound complications
b.Wound healing
c.Wound classification
Remodeling phase

Question 27

A ____________ suture with long suture length is anchored at one end of the tissues, and the needle alternated from one side of the tissue edge to the other the entire length of the wound.

A) simple or interrupted
B) continuous or running
C) swaged
D) braided

Question 28

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Wound complications
b.Wound healing
c.Wound classification
Adhesions

Question 29

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Wound complications
b.Wound healing
c.Wound classification
Proliferative phase

Question 30

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Wound complications
b.Wound healing
c.Wound classification
Surgical site infection

Question 31

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Suture material
b.Surgical needle characteristic
c.Suturing technique
Conventional cutting

Question 32

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Wound complications
b.Wound healing
c.Wound classification
Clean wound

Question 33

Surgeons are accustomed to receiving sutures from the scrub in a prescribed manner for __________.

A) better utilization of the suture
B) safety and efficiency of movement
C) adhering to policy
D) increasing infection control

Question 34

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Wound complications
b.Wound healing
c.Wound classification
Seroma and hematoma

Question 35

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Suture material
b.Surgical needle characteristic
c.Suturing technique
Vicryl

Question 36

When handling ________, exercise caution to prevent puncturing your or a team member's glove.

A) stainless steel sutures
B) disposable surgical staples
C) burs
D) rasps

Question 37

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Suture material
b.Surgical needle characteristic
c.Suturing technique
Running or continuous

Question 38

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Wound complications
b.Wound healing
c.Wound classification
Clean contaminated wound

Question 39

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Suture material
b.Surgical needle characteristic
c.Suturing technique
Polypropylene

Question 40

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Wound complications
b.Wound healing
c.Wound classification
Contaminated wound

Question 41

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Suture material
b.Surgical needle characteristic
c.Suturing technique
Subcuticular

Question 42

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Suture material
b.Surgical needle characteristic
c.Suturing technique
French eye

Question 43

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Suture material
b.Surgical needle characteristic
c.Suturing technique
Stainless steel

Question 44

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Suture material
b.Surgical needle characteristic
c.Suturing technique
Interrupted

Question 45

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Suture material
b.Surgical needle characteristic
c.Suturing technique
Suture ligature