Author Question: A nurse evaluates the condition of the wound and determines that the staples or sutures should ... (Read 46 times)

bobbie · **on:** Jul 24, 2018

A nurse evaluates the condition of the wound and determines that the staples or sutures should remain in place if:

A. The wound edges are separated
B. There is no drainage or erythema present
C. The client is anxious about their removal
D. A cosmetically aesthetic result would not be achieved

Question 2

The nurse caring for a patient receiving IV fluids knows that the current recommendation for changing the tubing on a continuously running IV is:

a. at least every 48 hours.
b. every 24 hours.
c. no more often than every 96 hours.
d. with each IV solution bag change.

gasdhashg · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

A
A. Assess healing ridge and skin integrity of suture line for uniform closure of wound edges, normal color, and absence of drainage and inflammation, which indicates adequate wound healing for support of internal structures without continued need for sutures or staples. If wound edges are separated or signs of infection are present, wound has not healed properly.
B. Absence of drainage and erythema would indicate sutures are ready for removal.
C. Steps would be taken to relieve the client's anxiety, but suture removal is based on the condition of the wound.
D. Timing of suture removal is based on adequate wound healing.

Answer to Question 2

C
Intravenous tubing administration sets remain sterile for 96 hours. Thus, the INS recommends changing tubing no more frequently than every 96 hours. When possible, schedule tubing changes when it is time to hang a new IV container.