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.

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