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Which statement about surgical dressings is true?


A) Surgical dressings cushion and protect the wound from trauma and gross contamination,and absorb drainage.
B) Surgical dressings cover the wound to maintain moisture to promote granulation.
C) Surgical dressings maintain tension on the suture line to prevent dehiscence.
D) Surgical dressings protect surrounding drapes,linen,and clothing from contamination.

E) A) and C)
F) A) and B)

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Surgical site infections (SSIs) account for 14% to 16% of all hospital-acquired infections.Perioperative nurses and surgical technologists are responsible for understanding the factors that contribute to SSIs and preventive measures.Which of the following is a true statement about preparation of the patient?


A) Hair removal should be accomplished in the OR with a sterile razor.
B) The patient should be required to bathe or shower the night before surgery.
C) The antimicrobial skin prep should proceed in concentric circles toward the incision.
D) Diabetic patients are recommended to have a short hospital stay to control glucose levels.

E) All of the above
F) None of the above

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Which statement best reflects the appropriate purpose of a surgical drain?


A) Drains can prevent the development of deep wound infections.
B) Drains provide pockets through which air and fluids can collect in the surgical site.
C) Drains provide a portal for antibiotic irrigation.
D) Drains can provide opportunities for wound aeration.

E) B) and C)
F) A) and C)

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Pilar Slayton has just seen her surgeon for her first postoperative visit after a modified radical mastectomy 6 days ago.Her incision is healing well and the closed drain was removed.There are no signs of infection or impaired healing.The surgeon reviewed the operative report and noted that Pilar's wound classification was documented in the perioperative record as classification II.After Pilar left,the surgeon called the perioperative nurse to investigate the reason wound classification II was assigned during the surgery.What is the most probable explanation for this notation?


A) A break in aseptic technique
B) An error of transmission in the perioperative record
C) The nurse thought that the closed drain warranted classification II.
D) Any of these events could have occurred and were not communicated to the team.

E) None of the above
F) A) and B)

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What critical information would you include in an educational module presented to nurses and residents that covered postoperative incision care to prevent SSIs in the cardiac ICU? Select all that apply.


A) Review of basic handwashing and sterile technique
B) Review of infection control measures during cardiac surgery
C) Instruction on appropriate dressing change procedure and timing of first dressing change
D) Discussion of recent ICU infection surveillance reports and who cared for those patients
E) Signs and symptoms of SSIs

F) All of the above
G) None of the above

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