A 58-year-old male with a history of chronic hepatitis C and long-standing alcohol use presents with increasing abdominal swelling, fatigue, and confusion. On exam, he has jaundice, ascites, and easy bruising. Labs reveal: AST 95 (norm 8-48), ALT 60 (norm 7-55), Total bilirubin 4.5 mg/dL (norm 0.2-1.2), Albumin 2.4 g/dL, (norm 3.5-5.5) INR 1.9 (norm 0.8-1.2), and Platelets 85,000/mm³. What pattern is most characteristic of this patient’s liver disease?

When suturing, at what angle should the needle penetrate the skin in order to minimize the size of the entry wound and promote eversion of the skin edges?

 A 17 year old female came to your clinic post motor vehicle accidence where the passenger glass and had a laceration on her right forearm. You notice the laceration is no longer actively bleeding and after irrigating the wound a small piece of glass present within the laceration is noted. What is your NEXT step?  

Select all that apply: In repairing a laceration, the nurse practitioner is aware that it is essential to: 

How can the nurse practitioner decrease the “sting” of local anesthesia for laceration repair ? Select all that apply

A 54 year old male tripped and fell and presents to your office with a painful and swollen left ankle. You order a left ankle and foot x ray which is negative for fractures. What is your next step?

For the patient who is allergic to certain components of anesthetic solutions that require local anesthesia for wound care/laceration repair, what should the NP do?

How can the nurse practitioner decrease the “sting” of local anesthesia for laceration repair ? Select all that apply

True or False. Square knots is the fundamental knot for suturing.

A 20 year old female comes to you clinic with a left knee laceration after a fall. After irrigating the wound, the nurse practitioner determines that the laceration requires suturing.  After satisfactorily placing the suture on the patient’s laceration, what is the nurse practitioner’s next step?