Understanding Wound Drains: Types, Management, and Factors Affecting Drainage, Exams of Nursing

Download Understanding Wound Drains: Types, Management, and Factors Affecting Drainage and more Exams Nursing in PDF only on Docsity! NURSING CLINICALS Wound Drains Review Exam Q & A 2024 1. What is the main purpose of surgical drains? a) To remove pus, blood or other fluid from the wound site b) To prevent infection and promote wound healing c) To reduce pain and tissue damage d) All of the above Answer: D. All of the above. According to , surgical drains are tubes placed near surgical incisions in the post-operative patient, to remove pus, blood or other fluid, preventing it from accumulating in the body. The type of drainage system inserted is based on the needs of patient, type of surgery, type of wound, amount of drainage expected and surgeon preference. This can help prevent infection, enhance wound healing, reduce pain and tissue damage. 2. What are the common types of surgical drains used for wound drainage? a) Jackson-Pratt, Redivac, Pigtail, Penrose, Mini-vacuum, Bellovac b) Foley catheter, Nasogastric tube, Chest tube, Abscess drain c) Both A and B d) None of the above Answer: C. Both A and B. According to and , there are various types of drains that can be used for different purposes and locations. Some are designed for specific organs or cavities, such as foley catheters or nasogastric tubes. Others are used for general wound drainage, such as Jackson-Pratt or Penrose drains. 3. What are the signs of infection at the drain site? a) Redness, tenderness, warmth, increased ooze b) Fever, chills, malaise, leukocytosis c) Purulent or foul-smelling drainage d) All of the above Answer: D. All of the above. According to , infection is a potential complication of drain placement and should be monitored closely. Signs of infection include local symptoms at the drain site, such as redness, tenderness, warmth, increased ooze, or a change in collection fluid to purulent or foul-smelling; as well as systemic symptoms, such as fever, chills, malaise, leukocytosis. Question 4: A patient with a Jackson-Pratt drain reports severe pain at the wound site. What action should the nursing staff prioritize? a) Administering a prescribed analgesic medication b) Applying ice packs around the drain site c) Increasing the suction pressure of the drain d) Removing the drain immediately Answer: a) Administering a prescribed analgesic medication Rationale: Severe pain at the drain site can indicate the need for pain management to ensure the patient's comfort and well-being. Question 5: Which of the following statements best describes the purpose of a wound drain? a) To promote the accumulation of fluids in the wound area b) To prevent the formation of granulation tissue c) To remove excess fluids and prevent the accumulation of serous exudate d) To facilitate the spread of infection within the wound Answer: c) To remove excess fluids and prevent the accumulation of serous exudate Rationale: The primary purpose of a wound drain is to remove excess fluids and prevent the accumulation of serous exudate, which can impede the healing process and increase the risk of infection. Question 6: When teaching a patient about self-care with a wound drain, which instruction is essential to include? a) "You can remove the drain while showering and reinsert it afterward." b) "Empty the collection chamber when it is half full to prevent leakage." c) "Avoid touching the drain site to prevent contamination and infection." d) "Apply suction to the drain to promote faster healing." Answer: c) "Avoid touching the drain site to prevent contamination and infection." Rationale: Instructing the patient to avoid touching the drain site helps minimize the risk of contamination and infection, promoting optimal wound healing. Question 7: Which of the following nursing interventions is essential when caring for a patient with a Hemovac drain? a) Keeping the drain site moist to promote drainage b) Applying continuous suction to the drain c) Monitoring the amount and character of drainage d) Emptying the collection chamber every 12 hours Answer: c) Monitoring the amount and character of drainage Rationale: Regular monitoring of the drainage amount and character allows the nursing staff to assess the patient's progress and detect any abnormalities or complications related to the drain. Question 8: What precaution should the nursing staff take when removing a wound drain from a patient? a) Quickly pull out the drain to minimize discomfort b) Ensure that the patient is in a supine position during removal c) Document the appearance and length of the removed drain d) Apply pressure to the wound site after removal to prevent bleeding Answer: c) Document the appearance and length of the removed drain Rationale: Documenting the appearance and length of the removed drain is crucial for accurate assessment and to identify any retained portions of the drain that may require further intervention. Question 9: A patient with a Penrose drain experiences an increase in the amount of drainage over 24 hours. What should the nursing staff consider as a priority? a) Administering prophylactic antibiotics b) Assessing the patient for signs of infection c) Encouraging increased fluid intake d) Applying a tighter dressing around the drain site Answer: b) Assessing the patient for signs of infection Rationale: An increase in drainage may indicate a potential complication such as infection, and the patient should be promptly assessed for any signs or symptoms of infection. Question 10: Which of the following factors can contribute to the occlusion of a wound drain? a) Regular position changes for the patient b) Accumulation of blood clots in the tubing c) High fluid intake by the patient d) Ensuring the drain remains above the level of the wound site Answer: b) Accumulation of blood clots in the tubing Rationale: The accumulation of blood clots in the tubing can lead to the occlusion of the drain and hinder the effective removal of fluids from the wound. Question 11: When assessing a patient with a wound drain, which finding should the nursing staff recognize as potentially indicating a complication? a) Serous drainage with a faint yellow color b) Presence of granulation tissue at the wound site c) Foul-smelling or purulent drainage d) Minimal drainage output over 24 hours Answer: c) Foul-smelling or purulent drainage Rationale: Foul-smelling or purulent drainage is indicative of infection and requires immediate assessment and intervention to prevent further complications. Question 12: What should the nursing staff prioritize when preparing a patient for discharge with a wound drain in place? a) Providing detailed instructions for drain removal at home b) Ensuring the patient has a sufficient supply of drain dressings c) Instructing the patient to limit physical activity to prevent dislodging the drain d) Educating the patient on signs and symptoms of complications to monitor Answer: d) Educating the patient on signs and symptoms of complications to monitor Rationale: Educating the patient on signs and symptoms of complications empowers them to recognize potential issues and seek timely medical attention, promoting post-discharge safety and well-being. debris from a wound. They have a separate lumen that allows for continuous suction and drainage. 4. Which type of wound drain is typically used for closed suction drainage of serosanguinous fluid? A. Hemovac drain B. Jackson-Pratt drain C. Penrose drain D. Sump drain Answer: A. Jackson-Pratt drain Rationale: Jackson-Pratt drains are commonly used for closed suction drainage of serosanguinous fluid. They have a bulb-like reservoir that creates suction for drainage. 5. Which type of wound drain is commonly used for drainage of fluid from a wound that is too small for a drain to be placed? A. Hemovac drain B. Jackson-Pratt drain C. Penrose drain D. T-tube drain Answer: C. Penrose drain Rationale: Penrose drains are often used for drainage of fluid from a wound that is too small for a drain to be placed. They can be easily cut to size and are versatile for use in different wound sizes. 6. Which type of wound drain is commonly used for biliary drainage after surgery? A. Hemovac drain B. Jackson-Pratt drain C. Penrose drain D. T-tube drain Answer: D. T-tube drain Rationale: T-tube drains are commonly used for biliary drainage after surgery, such as cholecystectomy. They allow for drainage of bile from the common bile duct into a collection bag. 7. Which type of wound drain is commonly used for drainage of fluid from the abdominal cavity after surgery? A. Hemovac drain B. Jackson-Pratt drain C. Penrose drain D. Jackson-Pratt drain Answer: D. Jackson-Pratt drain Rationale: Jackson-Pratt drains are commonly used for drainage of fluid from the abdominal cavity after surgery. They are closed suction drains that create negative pressure for efficient drainage. 8. Which type of wound drain is commonly used for drainage of cerebrospinal fluid following brain surgery? A. Hemovac drain B. T-tube drain C. Penrose drain D. Sump drain Answer: D. Sump drain Rationale: Sump drains are often used for drainage of cerebrospinal fluid following brain surgery. They have a separate lumen for continuous suction and drainage. 9. Which type of wound drain is commonly used for drainage of fluid from the pleural cavity following chest surgery? A. Hemovac drain B. T-tube drain C. Penrose drain D. Chest tube drain Answer: D. Chest tube drain Rationale: Chest tube drains are commonly used for drainage of fluid from the pleural cavity following chest surgery. They are connected to a drainage system that allows for efficient removal of fluid or air. 10. When caring for a patient with a Hemovac drain, which action is important for maintaining proper functioning of the drain? A. Emptying the drain whenever it is full B. Clamping the drain while inspecting the wound site C. Removing the drain from the wound site for cleaning D. Allowing the drain to hang freely without pressure on the tubing Answer: D. Allowing the drain to hang freely without pressure on the tubing Rationale: Proper functioning of a Hemovac drain requires that the drain hang freely without pressure on the tubing to facilitate proper drainage. 11. Which action is appropriate when caring for a patient with a Jackson- Pratt drain? A. Squeezing the reservoir to increase suction B. Emptying the drain when it is half full C. Clamping the drain while changing the dressing D. Removing the drain from the wound site for cleaning Answer: B. Emptying the drain when it is half full Rationale: Jackson-Pratt drains should be emptied when they are half full to prevent overflow and ensure proper functioning of the drain. 12. When caring for a patient with a Penrose drain, which action is important for preventing infection at the drain site? A. Applying antibiotic ointment around the drain site B. Wrapping the drain in a sterile dressing C. Securing the drain with tape to prevent movement D. Changing the drain site dressing daily Answer: A. Applying antibiotic ointment around the drain site Rationale: Applying antibiotic ointment around the drain site can help prevent infection and promote healing at the drain site. 13. Which action is appropriate when caring for a patient with a sump drain? A. Clamping the suction lumen while measuring output B. Allowing air to enter the drain to prevent negative pressure C. Emptying the collection chamber when it is full