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.

单项选择题
单项选择题