CST Wound Care & Closure Flashcards

What is the purpose of a Jackson-Pratt (JP) drain placed at the end of a surgical procedure?

Answer: To remove accumulated blood, serum, or fluid from the surgical site using low-pressure suction

A JP drain uses a compressible bulb to create gentle suction that evacuates postoperative fluid accumulation (seroma, hematoma) from the wound site.

A keloid scar differs from a hypertrophic scar in that a keloid:

Answer: Extends beyond the original wound borders into surrounding tissue

Keloids are abnormal scar formations that extend beyond the original wound margins into adjacent normal tissue, unlike hypertrophic scars which stay within wound boundaries.

When applying a pressure dressing after surgery, what is the primary goal?

Answer: To reduce dead space, prevent hematoma/seroma formation, and support wound edges

Pressure dressings minimize dead space and fluid accumulation while supporting wound edges to reduce the risk of hematoma, seroma, and dehiscence.

Which factor is most likely to impair wound healing in a surgical patient?

Answer: Poor nutritional status and protein deficiency

Protein and nutritional deficiency impairs collagen synthesis, immune function, and cellular proliferation essential for wound healing.

What is the correct action when the scrub technologist is preparing to close the wound and the instrument, sponge, and needle counts are incorrect?

Answer: Inform the surgeon immediately and search for the missing item before closure

An incorrect count must be reported to the surgeon immediately, a thorough search conducted, and closure halted until the item is located or accounted for per AORN standards.

Which wound classification is assigned to a cholecystectomy performed on a patient with acute cholecystitis (inflamed but unperforated gallbladder)?

Answer: Class III – Contaminated

Acute cholecystitis with an intact gallbladder is classified as Class III Contaminated because of the acute inflammation and potential for bile spillage.