A nurse is caring for a client who has a penrose drain to ensure proper placement. Obtain V/S to assess for shock.
A nurse is caring for a client who has a penrose drain to ensure proper placement. Walk 2 feet behind the client during ambulation. Which of the following actions should the nurse take? C Place a perforated gauze pad around the drain. use clean techniques to empty the reservoir. Which is an appropriate nursing intervention for this client? 1. This keeps fluid from collecting under your incision (surgical cut) and causing infection. which Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a low thrombin level as a result of cirrhosis. Upon assessment of the wound, the wound care nurse informs the medical-surgical nurse that the wound healing is being delayed due to the client's state of dehydration and dehydrated tissues Study with Quizlet and memorize flashcards containing terms like When repositioning a client, how should the nurse handle an arm cast that is not fully dry?, A client who has a plaster arm cast reports itching under the cast and asks the nurse what to do about it. 1. About Your Penrose Drain. The nurse is caring for an abdominal surgical client who has a Jackson-Pratt drain in place. Study with Quizlet and memorize flashcards containing terms like A nurse is assisting with the care of a client who is receiving continuous IV therapy. Change the pouch every day. On assessment, the nurse notes that there is a safety pin on the drain just outside the wound incision area. While changing the client's abdominal dressing the nurse notes the presence of serosanguineous drainage. What interventions should the nurse initiate? You answered this question Correctly 1. , A nurse is caring for a client who has a Penrose drain. Which action should be included in the postoperative plan of care? 1. Which Study with Quizlet and memorize flashcards containing terms like What are the expected outcomes when caring for a T-tube drain? Select all that apply. After surgery, blood, lymphatic fluid (lymph) and other fluids can collect at the surgery site or wound. Which action should the nurse include in the client's postoperative plan of care? 1. What would be the nurse's next step after emptying the chamber's because this could interfere with the proper functioning of the drain. A. A community health nurse is helping to reinforce teaching about hepatitis A with a group A Penrose drain is in place on the first postoperative day in a client who has undergone a cholecystectomy procedure. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has bradycardia following a surgical procedure using spinal anesthesia, a nurse is planning care for a client who is postoperative and has a closed-wound drainage system in place, a nurse is reviewing the medical records of a client who is scheduled for an elective surgery. These fluids can become infected if bacteria aren’t drained. D- Secure the A client has undergone total hip replacement of the right hip, which was damaged by osteoarthritis. Which action is appropriate to address this concern?, The nurse prepares to provide gastrostomy insertion site care. Which is an appropriate nursing intervention for this client? Ensure that a sterile safety pin is through the The nurse is caring for a client who has a Penrose drain. Place the client in semi-Fowler's position 3. A client returns to the nursing unit following a pyelolithotomy for removal of a kidney stone. , A nurse is caring for a client who is postoperative and has a Jackson-Pratt drain in place. The nurse is observing the IV site. Ensure the client is wearing socks before ambulating C. Solution. In How to care for a JP Drain as a Nurse. Ensure the client receives her daily tablet of enoxaparin (Lovenox). A nurse is changing the dressings for a client who has 2 Penrose drains Use a gait belt during ambulation B. Place client in a negative pressure The nurse is caring for a Penrose drain for a client post-abdominal surgery. What action should the The nurse is caring for a client who has a Penrose drain. 20. Which interventions should the nurse include in the plan of care for this drain? Select all that apply. What type of dressing Penrose Drain prepU Preview text. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is one week postoperative following abdominal surgery. As a nurse taking care of a Jackson-Pratt drain you will want to do the Keep the drain secure and lowered at the insertion site so it will drain proper. This information explains how to care for your Penrose drain after you leave the hospital. 9% saline B) Closing the wound area with Steri-Strips C) Pouring sterile hydrogen peroxide into the abdominal cavity and packing with gauze D) Holding the wound together until the physician arrives, The wound care clinical nurse specialist has been consulted to evaluate a wound on the leg of a client with Study with Quizlet and memorize flashcards containing terms like A nurse needs to obtain a venous blood sample from a term neonate. Place the following steps in the correct order. Quiz Answers. What nursing action reflects a step in the care of a Penrose drain that needs to be shortened each day?-The nurse empties and suctions the device, following the manufacturer's directions prior A nurse is caring for a client who reports fatigue, weight loss, afternoon fevers, night sweats, cough, and hemoptysis. A nurse is caring for a client who has Secure the drain to the client's gown with a safety pin below the level of the wound rationale: To ensure there is not any tension on the tubing of a Jackson-Pratt drain, the nurse secures the drain to the client's gown with a safety pin below the level of the wound. Which type of drain should the A nurse is caring for a client who reports fatigue, weight loss, afternoon fevers, night sweats, cough, and hemoptysis. A Penrose drain is in place. functioning of the drain, which of the following should the nurse expect to observe? ANS: The safety pin is present at the distal end of the drain. Which of the following instructions should the nurse include?, A nurse is planning care for a client who is postoperative and has a closed-wound drainage system in place. Which of the following adhering devices is the best choice for the nurse to use to decrease skin irritation?, A nurse if preparing to anchor with tape the catheter tube for a male client who has a newly Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who fell at a nursing home. Which of the following actions should the nurse take? connect the drain to The nurse is caring for a client with a Penrose drain from an abdominal incision. Cleanse the skin around the stoma with warm water. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is receiving an IV fluid replacement. Place a belt restraint on the client when he is sitting on the bedside Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who had a mastectomy and has a self-suction drainage evacuator in place. Taping the drain or applying an abdominal binder will keep the bulb compressed and hinder the suction action of the drain. What action should the The nurse is caring for a client with a Penrose drain from an abdominal incision. They’ll also give you the supplies you need. A Penrose drain is a soft, flat, flexible tube made of latex. Which of the following interventions should the nurse use to ensure proper functioning of the drain? A. secure the drain to the sheet 2. Yes, get the answer. b. However, open-drainage systems, such as the Penrose drain, are not anchored to the skin. Your nurse will review these instructions with you before you leave. The client's wound healing has been slow. What action should the A nurse is caring for a client who has a Penrose drain. Based on this finding it is most important for the nurse to monitor the client for signs and symptoms of which potential complication? 1. 1 The nurse is caring for a client's wound that has a Jackson–Pratt drain in place. A nurse is planning care for a client who is postoperative and has a closed-wound drainage system in place. Instruct the client to sit on the edge of the bed for 15 seconds before ambulating D. Assist the client in keeping her legs as close together as possible. Restrict fluid intake to 500 mL per day. 3. Infection 3. Get answer. For this type of drain, it is important for the nurse to care for the drain so as to prevent inadvertent dislodgment. The nurse should recognize which of the following?, A nurse is totaling the number of milliliters of fluid a client What is a penrose drain? A penrose drain is a soft, flexible rubber tube that drains fluid away from a wound. Study with Quizlet and memorize flashcards containing terms like The wound care nurse evaluates a client's wound after being consulted. Bleeding 2. Dehydration 4. The client is oriented to person, place and time and can follow directions. To ensure proper placement and functioning of the drain, which of the following should the nurse expect to Caring for a Penrose Drain. When removing the old dressing from the site of a Penrose drain, the nurse notes that some of the dressing material has stuck to the client's skin. Remind the client to use a handrail if she is lowering her hips On the other hand, an open drain system (like a Penrose drain), doesn’t allow you to measure drainage and there is a high risk for infection. The gastrostomy tube was placed this week. The nurse is caring for a client who has had a cast placed. To ensure proper placement and. This helps in detecting any complications early, such as infection or blockage. make sure suction is maintained 3. Draining fluids out of the body will help the patient recover faster and prevent post-operative infection. Which of the following actions should the nurse take to ensure proper operation of the device? A nurse is caring for a client who has a history of dysrhythmias. Which of the following intervention should the nurse plan to Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a postoperative client who has just returned from the postanesthesia care unit after having nasal surgery. A safety pin is placed at the outside area of the incision to prevent the drain from sliding into the wound area. Changing dressings frequently around the Penrose drain 4. Weighing dressings Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a gastrostomy tube and notes a patchy, red rash at the insertion site. , The nurse is A closed drainage system, such as a Jackson-Pratt drain or Hemovac drain is anchored to the skin with one or more sutures. What is the appropriate response by the nurse?, The nurse is caring for a client with a cast and notes both decreased Study with Quizlet and memorize flashcards containing terms like The nurse is performing catheter care. What priority action is essential for the nurse to perform? Assessing how often the client swallows Checking vital signs per agency protocol Viewing the external packing for bleeding A nurse is providing teaching to a client who has a new colostomy about proper care. What Study with Quizlet and memorize flashcards containing terms like A nurse is replacing the surgical dressings on a client who had abdominal surgery. Which of the following interventions should the nurse plan to include? A- Check the patency of the drain every 12 hrs. b) A Penrose drain has a round collection chamber with a spring that is kept under negative A nurse is caring for a client who has a Penrose drain. Place an aspirin in the ostomy pouch to decrease odor. Which of the following actions should the nurse take to ensure proper Study with Quizlet and memorize flashcards containing terms like After emptying the drainage from a Jackson-Pratt drain, how will the nurse re-establish suction to the drain?, How would the nurse secure a Jackson-Pratt drain after emptying it?, The nurse is caring for a Jackson-Pratt drain. A client who is unresponsive to verbal commands and changes position occasionally. The nurse is caring for a client who has a Penrose drain. check that the drains are sutured in place A nurse is providing teaching to a client who has a new colostomy about proper care. It lets blood and other fluids move out of the area of your surgery. A) Covering the wound area with sterile towels moistened with sterile 0. Which nursing action demonstrates proper aseptic technique? Sending a urine specimen to the laboratory for testing Irrigating the catheter daily Positioning the collection bag below the height of the bladder Applying Betadine ointment to the perineal area after On the other hand, an open drain system (like a Penrose drain), doesn’t allow you to measure drainage and there is a high risk for infection. d. Secure the drain to the clients bed sheet. Once per shift or once per day is not often enough to catch C. Use all options C. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a gastrostomy tube and notes a patchy, red rash at the insertion site. A nurse is caring for a client who has had a left-side mastectomy. A nurse is providing teaching to a client who has a new colostomy about proper care. Irrigating the Penrose drain using sterile procedure 3. The nurse is caring for a Penrose drain for a client post-abdominal surgery. Which of the following actions should the nurse take to ensure proper operation of the device?, A nurse is planning care for an adult client who has FVE. check that the drains are sutured in place. 2. Which of the following information should the A client who makes frequent slight changes in position and walks occasionally. Which of the following actions should the nurse take to ensure proper Study with Quizlet and memorize flashcards containing terms like The nurse would recognize which client as being particularly susceptible to impaired wound healing?, An older adult client has been admitted to the hospital with dehydration, and the nurse has inserted a peripheral intravenous line into the client's forearm in order to facilitate rehydration. Inspecting the Drain: Regular inspection of the Penrose drain is essential to ensure it is functioning properly. C- Cleanse the drain plug with alcohol after emptying. Which of the following actions should the nurse take?, A nurse is caring for a client who had a mastectomy and has a self-suctioning drainage evacuator in place. The client reports pain at the site. Place client in reverse Trendelenburg position D. What interventions should the nurse initiate? 1. Which type of drain should the 19. Obtain V/S to assess for shock. Weighing dressings Study with Quizlet and memorize flashcards containing terms like A nurse is providing discharge teaching for a client who is postoperative following a rhinoplasty using general anesthesia. What is the appropriate response by the nurse?, The nurse is caring for a client with a cast and notes both decreased A nurse is caring for an abdominal surgical client who has a Jackson-Pratt drain in place. Which of the following manifestations indicates that the client has developing phlebitis? 1) Blood 2) Coolness 3) Pallor 4) Erythema, A nurse is collecting data from a client who has has Study with Quizlet and memorize flashcards containing terms like A nurse is changing the dressings for a client who has two Penrose drains near an abdominal incision. Which A client returns to the nursing unit following a pyelolithotomy for removal of a kidney stone. Position client in semi-Fowler's position. The nurse notes a Penrose drain intact. Caring for Your Penrose Drain This information explains how to care for your Penrose drain after you leave the hospital. What nursing action reflects a step in the care of a Penrose drain that needs to be shortened each day?-The nurse empties and suctions the device, following the manufacturer's directions prior Study with Quizlet and memorize flashcards containing terms like What is the best way for the nurse to clean the wound site in a client with a Penrose drain? -in a wedge pattern from pin site to outer edge of wound and repeat -in a circular motion beginning at the outer edge of the wound and moving in toward the pin site -in an up-and-down pattern beginning on left side of pin and Study with Quizlet and memorize flashcards containing terms like A nurse is replacing the surgical dressings on a client who had abdominal surgery. Which of the following information should the nurse include in the teaching? Change the colostomy bag following breakfast. On the basis of recent research, which is the method of choice for collecting this client's sample?, The nurse is preparing to perform venipuncture to obtain a venous blood sample. Place in order, from first to last, the actions the nurse will perform. Positioning the client on the affected side 2. It lets blood and The Penrose drain is a thin, rubber tube used to passively drain fluids (such as blood and lymph) from the surgical site. Caring for Your Penrose Drain. No, go search my questions. Goal: The Penrose drain remains patent and intact; the care is accomplished without contaminating the wound area, or causing trauma to the Study with Quizlet and memorize flashcards containing terms like A nurse is replacing the surgical dressings on a client who had abdominal surgery. Wear an N95 respirator when caring for client. What would be the nurse's most appropriate action?, A 77-year-old client has experienced an ischemic stroke and is now dependent for all activities of daily living. A penrose drain directs the fluid collecting inside the wound outside your body. To ensure proper placement and functioning of the drain, which of the following should the nurse expect to The nurse is caring for a client who has a Penrose drain. 4. make sure suction is maintained. , To ensure the early detection of problems, at a minimum, how often should the nurse check the T-tube drain?, A nurse is caring for a client who will be undergoing removal of the gall bladder. Which f the following actions should the nurse take to decrease the risk of another fall? (Select all that apply) A. The nurse is caring for a client who has just returned from the operating room after colectomy to remove a bowel tumor and the creation of a colostomy. The nurse should assess the amount, color, and consistency of the drainage and report any abnormal findings to the healthcare provider. (B) The drain is sutured in place and the skin around the insertion site is clean and intact. Connect the drain to continuous low-pressure suction. Which statement is true about Penrose drains? a) A Penrose drain is a closed drainage system that is connected to an electronic suction device. Which of the following actions should the nurse take? a. Study with Quizlet and memorize flashcards containing terms like What are the expected outcomes when caring for a T-tube drain? Select all that apply. . About Your Penrose Drain A Penrose drain is a soft, flat, flexible tube made of latex. The nurse should record the presence of A nurse is changing the dressings for a client who has two Penrose drains near an abdominal incision. This means the A nurse is caring for a client who has a Penrose drain. Which interventions should the nurse include in the plan of care for this drain? 1. Which of the following adhering devices is the best choice for the nurse to decrease What is a penrose drain? A penrose drain is a soft, flexible rubber tube that drains fluid away from a wound. After surgery, blood, lymphatic fluid (lymph) and other fluids can collect at the A nurse is caring for a client who has a Penrose drain. Part Study with Quizlet and memorize flashcards containing terms like A nurse removing sutures from a client's traumatic wound notices that the sutures are encrusted with blood and difficult to remove. Which of the following findings should the nurse identify as INFILTRATION of the IV infusion site, A nurse is proving teaching to a group of unit nurse about wound healing by secondary intention. Which of the following actions should the Explanation: An appropriate nursing intervention for a client with a Penrose drain from an abdominal incision is to monitor drainage amount and characteristics. Your nurse will review these A nurse is changing the dressing for a client who has two Penrose drains near an abdominal incision. Empty the drainage device 【Solved】Click here to get an answer to your question : A nurse is caring for a client who has a Penrose drain. To ensure proper placement and functioning of the drain, which of the following should the nurse expect to observe? (A) The drain is draining freely and there is no evidence of leakage. secure the drain to the sheet. Ensure that a sterile safety pin is through the The nurse is caring for a client who has a Penrose drain. Malnutrition, The nurse is caring for a client admitted with severe Study with Quizlet and memorize flashcards containing terms like When repositioning a client, how should the nurse handle an arm cast that is not fully dry?, A client who has a plaster arm cast reports itching under the cast and asks the nurse what to do about it. B- Clamp the drain while the client is ambulating. Which of the following actions should the nurse take? 170. A nurse is caring for a client who has a Penrose drain. What action should the PATIENT & CAREGIVER EDUCATION. B.