1. The decision to remove sutures or

1. The decision to remove sutures or staples from a wound is made by : __________________________________________________________________________ 2. When the Doctor’s order reads, “remove alternate sutures”, the nurse expects that the client will have (continuous, retention, interrupted) sutures in their incision. The nurse interprets this order to mean? ____________________________________________________________________________________________________________________________________________________ __________________________________________________________________________ 3. Before proceeding with the actual removal of sutures, what are the nurse’s responsibilities? ______________________________________________________________________________________________________________________________________________________________________________________________________________________________ 4. How would you interpret the following Doctor’s order: “Clip suture ends and apply Tegaderm” ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 5. a) Explain what Steri-Strips are: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________ b) What purpose do they serve? ______________________________________________________________________________________________________________________________________________________________________________________________________________________________ 6. What would be an appropriate nursing action if the incision began to gape as you were removing sutures? ______________________________________________________________________________________________________________________________________________________________________________________________________________________________ 7. List the supplies needed in order to remove sutures. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 8. What could be the consequence of cutting a suture incorrectly allowing a piece to remain? ______________________________________________________________________________________________________________________________________________________________________________________________________________________________ 9. What are the differences between open and closed drainage systems? ______________________________________________________________________________________________________________________________________________________________________________________________________________________________ 10. List three different types of drains, and describe ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 11. What considerations must a nurse take when doing a dressing change for a client’s drain? __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 12. List three different types of dressings, what they do, what their indications are and nursing considerations during their use. ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 13. What are the differences between an arterial ulcer and a venous ulcer? __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 14. What is a diabetic ulcer? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 15. What teaching can a nurse provide a patient with Diabetes to help prevent diabetic ulcers? ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 16. How would the nurse dress a diabetic ulcer? What other treatments can be provided for a diabetic ulcer that do not include the actual dressings on the wound bed? __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ SCIENCE HEALTH SCIENCE NURSING NSG 5112

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