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.

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 2 years ago

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