The nurse is caring for a patient with a Penrose drain. She knows ...

[mrsjacobs44]

The nurse is caring for a patient with a Penrose drain. She knows the patient will require the following care:
 
  a. The drain must be compressed after emptying to work properly.
  b. The drain must be connected to suction if ordered.
  c. The drain is not sutured in place so care is taken to not dislodge it.
  d. The suction pulls drainage away from the wound as it re-expands.

Question 2

The nurse knows the following types of wounds heal by tertiary intention:
 
  a. An acute wound in which the patient has sutures placed when it happened
  b. A pressure ulcer that was treated with dressing changes and healed
  c. An acute wound in which surgical glue was used to close the wound
  d. A wound that was left open initially and closed later with sutures

[Melissahxx]

Answer to Question 1

ANS: C
The Penrose drain, an open drain that is a flexible piece of tubing, is usually not sutured into place and is not connected to suction. Closed drains are compressed or connected to suction if ordered and pull drainage away as they expand.

Answer to Question 2

ANS: D
When a delay occurs between injury and closure, the wound healing is said to happen by tertiary intention. Wounds such as surgical incisions or traumatic wounds in which the edges of the wound can be approximated (brought together) to heal are examples of acute wounds. This type of wound is said to heal by primary intention. When a wound heals by secondary intention, new tissue must fill in from the bottom and sides of the wound until the wound bed is filled with new tissue such as a pressure ulcer.

[mrsjacobs44]

Thanks for the timely response, appreciate it

[strudel15]

Great answer, keep it coming