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","C","D","E"]
Explanation
E.
Choice A rationale:
Wet-to-dry dressings are not typically used for chronic wounds as they can cause tissue damage.
Choice B rationale:
Negative pressure treatment can promote healing by removing excess fluid and promoting blood flow to the wound.
Choice C rationale:
NPWT therapy, or Negative Pressure Wound Therapy, can help heal chronic wounds by removing excess fluid and promoting blood flow.
Choice D rationale:
Hydrocolloid dressings maintain a moist wound environment, which can promote healing.
Choice E rationale:
Protein is essential for wound healing as it is needed for the growth and repair of tissues.
Correct Answer is D
Explanation
Choice A rationale:
Karaya paste is used for ostomy care, not for dressing changes.
Choice B rationale:
Paper tape might not provide the necessary adhesion for frequent dressing changes.
Choice C rationale:
Elastic adhesive tape is typically used for strains and sprains, not for dressing changes.
Choice D rationale:
Montgomery straps are adhesive strips that can be tied and untied to secure dressings without removing and reapplying tape. This can help reduce skin irritation from repeated tape removal.
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