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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A reason:

This is incorrect because a curved needle with a cutting edge is used for general closure of skin, subcutaneous tissue, and other tissues that are tough or difficult to penetrate A cutting edge needle has a triangular point that can cause more tissue damage and scarring than a tapered point needle.

Choice B reason:

This is incorrect because a straight needle with a tapered point is used for easily accessible tissues, such as mucous membranes, gastrointestinal tract, or blood vessels A tapered point needle has a round body that gradually tapers to a point, allowing it to pierce through tissues without cutting them.

Choice C reason:

This is correct because a half-circle needle with a reverse cutting edge is used for suturing at sites that have limited space and require precise placement of stitches, such as ophthalmic, plastic, or cardiovascular surgery A reverse cutting edge needle has a triangular point with the cutting edge on the outer convex curvature of the needle, which helps prevent the suture from tearing through the tissue.

Choice D reason:

This is incorrect because an eyed needle with a blunt point is used for suturing tissues that are easy to separate, such as liver, kidney, or spleen A blunt point needle has a round body that ends in a blunt tip, which pushes aside the tissue fibers rather than cutting them An eyed needle has an eye at the end of the needle where the suture thread is inserted, which can cause more drag and tissue trauma than a swaged needle that has the suture attached to the end of the needle.

A. "This position helps to improve your blood pressure and blood flow to your brain.” B. "This position helps to reduce the risk of bleeding and infection in your lower abdomen or pelvis.” C. "This position helps to prevent pressure ulcers and nerve damage in your back and legs.” D. "This position helps to increase the space and visibility in your upper abdomen or chest."

Correct Answer is D

Explanation

Choice A reason:

This is incorrect because the Trendelenburg position does not improve blood pressure or blood flow to the brain. In fact, it may increase intracranial pressure and reduce cerebral perfusion.

Choice B reason:

This is incorrect because the Trendelenburg position does not reduce the risk of bleeding or infection in the lower abdomen or pelvis. It may increase the risk of aspiration, respiratory compromise, and venous congestion.

Choice C reason:

This is incorrect because the Trendelenburg position does not prevent pressure ulcers or nerve damage in the back and legs. It may cause nerve injury due to stretching of the brachial plexus and pressure on the peroneal nerve.

Choice D reason:

This is correct because the Trendelenburg position helps to increase the space and visibility in the upper abdomen or chest by displacing the abdominal organs downward. This may facilitate surgical procedures such as cholecystectomy, hiatal hernia repair, or thoracic surgery.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is assisting with a surgical procedure that involves suturing a wound. Which of the following statements should the nurse make to the surgeon when handing a suture needle?

Correct Answer is C

Explanation

A nurse is assisting with positioning a patient on the operating table in the Trendelenburg position. The patient asks, "Why do I have to be in this position?” What should the nurse say?

Correct Answer is D

Explanation

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