15. A client has a T-tube inserted in the surgical wound following a cholecystectomy. The most important nursing function in managing this tube is:
15. A client has a T-tube inserted in the surgical wound following a cholecystectomy. The most important nursing function in managing this tube is:
. Recording the quantity and color of drainage.
. Changing the dressing every shift.
. Preventing the tube from kinking.
. Teaching the client about the reason for the tube.
Test-Taking Tip
This question has more than one correct answer. Look for an option that may impact others. A tube that isn't draining (Answer 3) will affect the quantity of drainage (Answer 1), the dryness of the dressing (Answer 2), and the purpose of the tube (Answer 4).
Content Area: Adult Health, Gastrointestinal; Integrated Process: Nursing Process, Implementation; Cognitive Level: Analysis; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Therapeutic Procedures
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Answer 1 is incorrect because there would be no drainage if the tube were kinked. Answer 2 is incorrect because the dressing should be left in place, unless advised by the surgeon to change the dressing. Answer 3 is correct because a T-tube is used when there has been exploration of the common bile duct, which results in swelling. The tube prevents blockage to the flow of bile, and patency of the tube is important to the client's recovery. Answer 4 is incorrect because the priority and most important nursing action is to ensure that the tube is draining properly.