Practice Quiz

MSNCB Medical-Surgical Nursing Exam Prep

Category - Medical Surgical

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The client returns to the nursing unit following a pyelolithotomy for removal of a kidney stone. A Penrose drain is in place. Which of the following actions would the nurse include in the client's postoperative plan of care?

  1. Position the client on the affected side
  2. Irrigating the Penrose drain using sterile procedure
  3. Changing dressings frequently around the Penrose drain
  4. Weighing dressings and adding the amount to the output
Explanation

Answer: C - Frequent dressing changes around the Penrose drain are required to protect the skin against breakdown from the urinary drainage. If urinary drainage is excessive, an ostomy pouch may be placed over the drain to protect the skin. A Penrose drain is not irrigated. Weighing the dressings is not necessary. Placing the client on the affected side will prevent a free flow of urine through the drain.

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