A postoperative client has an abdominal incision and a Penrose drain. Both are covered with an abdominal dressing. Which is an important nursing action associated with caring for a client with a Penrose drain?
Changing the soiled dressing carefully
Pinning the drain to the dressing
Allowing the drain reservoir to fill completely before emptying it
Maintaining the negative pressure of the drain
The Correct Answer is C
Choice A rationale: Changing the soiled dressing carefully is important but not specifically associated with caring for a Penrose drain.
Choice B rationale: Pinning the drain to the dressing is not typically done; securing the drain and preventing tension are important.
Choice C rationale: Allowing the drain reservoir to fill completely before emptying it is a crucial nursing action associated with caring for a Penrose drain.
Choice D rationale: Maintaining the negative pressure of the drain is not applicable to a Penrose drain, which relies on gravity drainage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
Choice A rationale: Instructing the client to shift their weight at least every 15 minutes helps prevent pressure injuries.
Choice B rationale: Keeping the head of the bed raised at 45 degrees at all times is not a typical practice for preventing pressure injuries.
Choice C rationale: Massaging over bony prominences every hour while awake may not be recommended, as this can cause friction and shear, contributing to skin breakdown. Choice D rationale: Applying moisture barrier cream to perineal skin helps protect against skin breakdown from urinary incontinence.
Choice E rationale: Consulting with the wound care nurse about the use of a specialty mattress can provide additional support and help prevent pressure injuries.
Correct Answer is A
Explanation
Choice A rationale: Intravenous administration results in the most predictable onset and complete bioavailability to the client, as the medication goes directly into the bloodstream.
Choice B rationale: Oral administration is subject to factors such as absorption in the gastrointestinal tract, which can affect predictability and bioavailability.
Choice C rationale: Subcutaneous administration can be affected by factors like absorption rates and tissue characteristics, leading to variations in onset and bioavailability.
Choice D rationale: Transdermal administration has a slower onset and may be influenced by factors such as skin integrity and blood flow.
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