Chapter 25 & 26: Wound Closure & Healing

Question 1

List the desirable characteristics for surgical needles and explain why these characteristics are important.

Answer 1

Strong and does not break easily, rigid yet flexible enough to bend without breaking. Points must be sharp to penetrate tissue with minimal resistance. Must be same diameter as suture material

Question 2

How you would place the needle in the needle holder?

Answer 2

clamp the body of the needle 1/4 to 1/2 distance of the eye to the point, place needle securely in the jaw tip, close needle holder to first or second ratchet

Question 3

Describe the process of passing the needle holder to the surgeon

Answer 3

Lay it on the designated zone near the working area, often contains a magnetic pad

Question 4

Discuss instances when absorbable or nonabsorbale sutures would be utilized and provide rationale for their use

Answer 4

Absorbable = slow healing tissues, extended wound support, absorption is desired

Non absorbable = rapid healing, good support during early ambulation

Question 5

Why is collagen production so important in wound healing?

Answer 5

It is the basic protein substance of connective tissue. It contributes to the tensile strength of the wound

Question 6

Provide actions that the perioperative RN can perform during the intraoperative phase to assist with wound healing

Answer 6

Prevent foreign bodies in wound, prevent breaks in aseptic technique, provide appropriate wound dressings, prevent skin breakdown by using appropriate padding