Author Question: The nurse would recognize which of these devices as an open drainage system? A) Penrose drain B) ... (Read 51 times)

fbq8i · **on:** Jul 23, 2018

The nurse would recognize which of these devices as an open drainage system?

A) Penrose drain
B) Jackson-Pratt drain
C) Hemovac
D) Negative pressure dressing

Question 2

The wound care clinical nurse specialist has been consulted to evaluate a wound on the leg of a client with diabetes. The wound care nurse determines that damage has occurred to the subcutaneous tissues; how would she document this wound?

A) Stage I pressure ulcer
B) Stage II pressure ulcer
C) Stage III pressure ulcer
D) Stage IV pressure ulcer

lolol · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: A
A Penrose drain is an open system that lacks a collection device. Jackson-Pratt drains, Hemovacs, and negative pressure dressings all utilize a suction device or collection reservoir and are considered to be closed systems.

Answer to Question 2

Ans: C
Damage to the subcutaneous tissue indicates a stage III ulcer. Extensive destruction associated with full-thickness skin loss is categorized as a stage IV pressure ulcer. A stage I ulcer is a defined area of persistent redness in lightly pigmented skin and a persistent red, blue, or purple hue in darker pigmented skin. A stage II pressure ulcer is superficial and may present as a blister or abrasion.