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
Explanation
Choice A rationale: An ampule is a glass container that contains a single dose of medication. The medication is sealed under vacuum and must be broken open before use hence a filtered needle is a needle that has a filter in the hub that prevents glass particles from entering the syringe when drawing up the medication from the ampule. Glass particles can cause tissue damage, inflammation, infection, or embolism if injected into the patient. Therefore, it is most critical for the nurse to use a filtered needle when preparing a medication from an ampule.
Choice B rationale: Using a filtered needle is not specifically related to medications that need to be mixed with another medication.
Choice C rationale: Using a filtered needle is not necessary when preparing a parenteral medication that has to be reconstituted to remove particulate matter or contaminants.
Choice D rationale: Using a filtered needle is not specifically related to clear medications; it is more focused on the need to filter solutions.
Correct Answer is B
Explanation
Choice A rationale: Protecting the wound from additional pressure is more commonly achieved with pressure-relieving devices.
Choice B rationale: Providing moisture to the wound is the primary purpose of a hydrogel dressing, promoting a moist wound environment for healing.
Choice C rationale: Enhancing healing by primary intention is more related to surgical wound closure rather than the use of a hydrogel dressing.
Choice D rationale: Absorbing wound drainage is not the primary purpose of a hydrogel dressing, as its focus is on providing moisture.
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