A nurse is assisting with a surgical procedure that involves placing a drain in the wound. Which of the following actions should the nurse take to ensure proper functioning of the drain?
Compress the drain reservoir before closing the wound.
Secure the drain tubing to the patient's skin with tape.
Empty the drain reservoir when it is half full and measure the output.
Flush the drain tubing with saline solution every 4 hours.
The Correct Answer is A
Choice A reason:
Compressing the drain reservoir before closing the wound creates a vacuum that helps to suction out the fluid from the wound and prevent infection. This is a common practice for bulb-type drains that apply gentle suction.
Choice B reason:
Securing the drain tubing to the patient's skin with tape is not necessary and may cause skin irritation or damage. The drain tubing can be attached to the patient's clothes with a safety pin or secured near the bandage.
Choice C reason:
Emptying the drain reservoir when it is half full and measuring the output is part of the drain care at home, not during the surgical procedure. The patient or caregiver should empty the drain 2 to 3 times a day (or more), depending on the amount of output, and record it in a chart.
Choice D reason:
Flushing the drain tubing with saline solution every 4 hours is not recommended and may introduce infection or clog the tubing. The tubing should be kept clear by squeezing or "milking”. it occasionally to prevent clots from forming. : Instructions for Surgical Drain Care - Cleveland Clinic : How to Care for Your Surgical Drain at Home - Verywell Health : Surgical Drain Care: Care Instructions | Kaiser Permanente.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C"]
Explanation
Choice A reason:
Assisting with surgical procedures is not a function of the circulating nurse, but of the scrub nurse or the surgical assistant. The circulating nurse is responsible for coordinating the care of the patient in the operating room and ensuring a safe environment.
Choice B reason:
Counting instruments and sponges is a function of both the scrub nurse and the circulating nurse. They work together to ensure that no foreign objects are left inside the patient or on the sterile field.
Choice C reason:
Documenting events and interventions is a function of the circulating nurse. The circulating nurse records all relevant information about the patient's condition, the surgical procedure, the anesthesia administration, and any specimens collected.
Choice D reason:
Administering anesthesia and monitoring vital signs is not a function of the circulating nurse, but of the anesthesia care provider (ACP) The ACP is responsible for assessing the patient's health status, selecting and administering the appropriate anesthetic agent, and monitoring the patient's response to anesthesia.
Choice E reason:
Maintaining surgical asepsis and sterile technique is a function of both the scrub nurse and the circulating nurse. The scrub nurse maintains a sterile field by wearing sterile attire, handling sterile instruments and supplies, and preventing contamination. The circulating nurse maintains asepsis by monitoring the sterile field, checking for breaks in technique, and obtaining additional items as needed.
Correct Answer is A
Explanation
Choice A reason:
This is the correct definition of general anesthesia, which is a state of controlled unconsciousness, pain relief, memory loss and muscle relaxation that is induced by a combination of medications. It is used for surgical procedures where it is safer or more comfortable to be unaware and not feel pain.
Choice B reason:
This is the definition of regional anesthesia, which is a state of reduced sensation, awareness and movement in a large area of your body such as the lower half or an arm. It is used for surgical procedures that involve a specific region of the body and do not require complete unconsciousness.
Choice C reason:
This is the definition of local anesthesia, which is a state of numbness, tingling and loss of feeling in a small area of your skin such as a finger or a tooth. It is used for minor surgical procedures that involve only a small part of the body and do not require deep pain relief or unconsciousness.
Choice D reason:
This is not a correct definition of any type of anesthesia, but rather a description of natural sleep. General anesthesia is different from sleep because it involves a complete loss of awareness and responsiveness to any stimuli, whereas sleep involves periodic changes in brain activity and responsiveness to certain stimuli such as sounds or light. General anesthesia also requires artificial maintenance of vital functions such as breathing and blood pressure, whereas sleep does not.
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