问题
单项选择题
Which one of the following nursing interventions should be included in a plan of care for a client with a T tube
A.Maintain client in a supine position while T tube is in place.
B.Keep T tube clamped except for during mealtimes.
C.Inspect skin around the T tube daily for irritation.
D.Irrigate the T tube every 4 hours to maintain patency.
答案
参考答案:C
解析:Bile is erosive and extremely irritating to the skin. Therefore, it is essential that skin around the T tube be kept clean and dry.