A patient who underwent removal of a breast must be discharged home with a Jackson-Pratt wound drain in place.
As the patient demonstrates the procedure for emptying it, the nurse should correct her if she:
Refrains from touching the drainage spout with the hand.
Uses one alcohol wipe to clean both the spout and the plug.
Points the device away from herself while opening it.
Compresses the device in the hand before closing.
The Correct Answer is B
Choice A rationale:
Refraining from touching the drainage spout with the hand is a correct practice. This helps to prevent contamination of the drain.
Choice B rationale:
Using one alcohol wipe to clean both the spout and the plug is incorrect. Each part should be cleaned with a separate alcohol wipe to prevent cross-contamination.
Choice C rationale:
Pointing the device away from oneself while opening it is a correct practice. This helps to prevent accidental exposure to the drainage fluid.
Choice D rationale:
Compressing the device in the hand before closing is a correct practice. This helps to maintain the suction in the drain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Abdominal pads are not designed to minimize pain during dressing changes.
Choice B rationale:
Hydrogel dressings are known to minimize pain during dressing changes.
Choice C rationale:
Wet-to-dry dressings can cause discomfort during dressing changes.
Choice D rationale:
Dry gauze can stick to the wound bed and cause pain during dressing changes.
Correct Answer is A
Explanation
Choice A rationale:
Tertiary intention, also known as delayed primary closure or secondary suture, is a type of wound healing where the wound is initially left open and closed after several days.
Choice B rationale:
The remodeling phase is not a type of wound healing, but a stage of wound healing where the wound fully closes and the new tissue slowly gains strength and flexibility.
Choice C rationale:
Primary intention is a type of wound healing where the wound edges are approximated (brought together) and the wound heals by the process of epithelialization.
Choice D rationale:
Secondary intention is a type of wound healing where the wound is left open and heals by granulation, contraction, and epithelialization.
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