A nurse is caring for a client who has a drainage evacuator. Which of the following...

A nurse is caring for a client who has a drainage evacuator. Which of the following is an appropriate action by the nurse?

A. Discontinue the drainage system when it becomes full.

B. Ensure the drainage suction is set on high pressure.

C. Measure drainage by emptying into a graduated cylinder.

D. Check the volume of the drainage every 24 hours.

Solutions

Expert Solution

Drains are used Post operatively
It may be attached in a skin or an organ. There is possibilities that it attached in a duct or a cavity
The main types of drainage are Hemovac or Jackson Pratt drain ( Both are Closed sterile Collections)
Hemovac can hold of 500ml, whereas, jackson pratt can hold only lesser amount ( Like 50 ml)
The drainage site should be checked periodically to determine, whether they function properly and the presence of leakage
A drain Cannot be discontinued without a physicians order.
The physician should be set an acceptable amount for drain to be removed. When the drain reaches as per physicians order, it can be removed
In this case, as it is a drainage evacuator, it is necessary to measure the drainage by emptying into a graduated cylinder ( Answer C)
It is adviced not to accumulates any drainage in the wound bed, otherwise, it may leads to delay of wound healing.
Documentation of drainage is necessary after measuring it
Ensure privacy, hand hygine and follow asepsis technique

Nightingale answered 1 year ago

Next > < Previous

Related Solutions

a nurse is caring for a child who has cystic fibrosis and requires postural drainage. which...

a nurse is caring for a child who has cystic fibrosis and requires postural drainage. which of the action should the nurse take?

A nurse is caring for a client who has malignant melanoma, which of the following findings...

A nurse is caring for a client who has malignant melanoma, which of the following findings should the nurse expect when assessing the lesion A: purplish in color B: purulent drainage C: pruritus D: pain A nurse is caring for a client who is experiencing hypovolemic shock. Which of the following blood product should anticipate administering to this client A: cryoprecipitates B: albumin C: platelets D: packed RBCs

A nurse is caring for a client who has schizophrenia and is experiencing delusions. Which of...

A nurse is caring for a client who has schizophrenia and is experiencing delusions. Which of the following actions should the nurse take? Encourage the client to rest quietly in bed twice per day Direct long conversations about the delusions toward reality-based topics. Avoid assessing client’s delusions Allow the client unlimited time to discuss the delusions when they occur.

A nurse is caring for a client who is receiving epidural analgesia. Which of the following...

A nurse is caring for a client who is receiving epidural analgesia. Which of the following assessment findings is the nurse's priority? Hypotension Bladder distention Hypoactive bowel sounds Weakness to lower extremities 6672076520 A nurse is preparing a teaching plan for a client who has mucositis related to chemotherapy treatment. Which of the following instructions should the nurse include? "Floss your teeth gently following each meal." "Brush your teeth for 60 seconds twice daily." "Rinse your mouth with hydrogen peroxide."...

A nurse is caring for a client who has a traumatic brain injury. The client, who...

A nurse is caring for a client who has a traumatic brain injury. The client, who has been quiet and cooperative, becomes agitated and restless. Which of the following assessments should the nurse perform first? a. Blood glucose b. Urinary output c. Motor responses d. Blood pressure

57. A nurse is caring for a client following a cardiac catheterization who has hives and...

57. A nurse is caring for a client following a cardiac catheterization who has hives and urticaria following administration of IV contrast dye. Which of the following medications should the nurse plan to administer? A. Diphenhydramine B. Spironolactone C. Metoclopramide D. Desmopressin 58. A nurse is completing an assessment of an older adult client and notes reddened areas over the bony prominences, but the client's skin is intact. Which of the following interventions should the nurse include in the plan...

1. A nurse is caring for a client who is undergoing electroconvulsive therapy. Which of the...

1. A nurse is caring for a client who is undergoing electroconvulsive therapy. Which of the following tasks should the nurse delegate to assistive personnel? Assist the client to ambulate for the first time following the procedure Check the client’s condition after the procedure Witness the client’s signature on the consent for the procedure Give the client atropine 30 mins before the procedure 2. A nurse is caring for a client who has depression following a recent job loss. Which...

A nurse is caring for a client in crisis who has endured a physical assault. The...

A nurse is caring for a client in crisis who has endured a physical assault. The nurse would expect to see which behavior associate with the integration phase of crisis?

The nurse is caring for a client who has been admitted to the emergency room with...

The nurse is caring for a client who has been admitted to the emergency room with generalized weakness, particularly on her left side, with a left-sided facial droop, aphasia, numbness, and tingling in her left arm which started two days ago. Pupils are minimally reactive and constricted bilaterally. She does not follow commands. Lower extremities have + 1 pitting edema bilaterally. The client is transferred to the neuro floor but will be discharged home with her son. Using the Situation...

2. A nurse is caring for a client who has a traumatic injury to the right...

2. A nurse is caring for a client who has a traumatic injury to the right ankle. The client has an unstable fracture with only a temporary splint in place. The client is having increased pain that is unresolved with IV narcotics and has 4+ edema, pallor, and pulselessness of the right foot. What should the nurse suspect, and what interventions should be taken?

Subjects