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

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale: The deltoid muscle may not accommodate larger volumes as comfortably as other sites.

Choice B rationale: The dorsogluteal site is not recommended due to the risk of injury to the sciatic nerve.

Choice C rationale: The ventrogluteal site is the preferred site for IM injections in adults, providing a safe and well-vascularized muscle.

Choice D rationale: The vastus lateralis is a suitable site for infants and young children but may not be the most comfortable for adults receiving a 2 mL injection.

A. giving too much responsibility to the assistive personnel. B. a high degree of trust in delegates. C. a need for perfectionism and control D. that nurses usually have the time to do things themselves

Correct Answer is C

Explanation

Choice A rationale: Under-delegation is not related to giving too much responsibility to assistive personnel; it is about appropriate delegation based on the nurse's assessment of the situation.

Choice B rationale: Trust in delegates is essential, and under-delegation is more likely related to a lack of trust or confidence in delegation.

Choice C rationale: Under-delegation can occur due to a nurse's need for perfectionism and control, leading to a reluctance to delegate tasks to others.

Choice D rationale: Nurses often have heavy workloads, and under-delegation may be a result of feeling there is not enough time to delegate effectively.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is to administer a volume of 2 mL intramuscularly (IM) to a 150-pound client. Assuming that there are no skin problems, which is the preferred site for the injection?

Correct Answer is C

Explanation

The nurse is aware that a common cause of under delegation in client care is:

Correct Answer is C

Explanation

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