The primary care pediatric nurse practitioner is closing a laceration on a child's forehead using topical skin adhesive. What is the correct way to apply this product?

The primary care pediatric nurse practitioner is closing a laceration on a child's forehead using topical skin adhesive. What is the correct way to apply this product?

• A. Apply the adhesive between the wound margins and then hold the edges together.
• B. Apply the adhesive to the wound and then secure the edges with surgical tape.
• C. Hold the wound edges together and apply the adhesive on top.
• D. Have the child remain still for 15 to 20 minutes after the adhesive is applied.

Answer: (C)

When using topical skin adhesive, the goal is to bring the wound edges together and seal them from the surface. Hold the wound edges in gentle, even contact to align them, then apply a thin line of adhesive over the closed wound. This allows the adhesive to bond across the top and form a protective seal as it dries. Applying adhesive between the margins would glue tissue in a way that can prevent proper edge alignment and trap bacteria. Securing with tape isn’t needed, and the adhesive sets quickly, so no long waiting period is required for the child to stay still.

When using topical skin adhesive, the goal is to bring the wound edges together and seal them from the surface. Hold the wound edges in gentle, even contact to align them, then apply a thin line of adhesive over the closed wound. This allows the adhesive to bond across the top and form a protective seal as it dries. Applying adhesive between the margins would glue tissue in a way that can prevent proper edge alignment and trap bacteria. Securing with tape isn’t needed, and the adhesive sets quickly, so no long waiting period is required for the child to stay still.