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 C
Explanation
Choice A rationale:
A laceration is a cut or tear in the skin, not a raised scar.
Choice B rationale:
A contusion is a bruise caused by an impact to the skin, not a raised scar.
Choice C rationale:
A keloid is a thick, raised scar that can develop at the site of an injury or inflammation. It’s more common in people with darker skin tones.
Choice D rationale:
A hematoma is a collection of blood outside of the blood vessels, not a raised scar.
Correct Answer is C
Explanation
Choice A rationale:
Moistening the dressing with povidone iodine could cause irritation and is not the best method for removing a dressing stuck to the wound bed.
Choice B rationale:
Pulling off the dressing using slow, steady pressure could cause trauma to the wound bed and increase pain.
Choice C rationale:
Adding normal saline to loosen the dressing minimizes trauma to the wound bed and reduces pain during dressing removal.
Choice D rationale:
Leaving the old dressing in place and covering it with new, wet dressings could lead to infection and is not the best method for managing a dressing stuck to the wound bed.
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