A client is discharged to home after a modified radical mastectomy with two drainage tubes. Which statement by the client would indicate that further teaching is needed?
a. "I am glad that these tubes will fall out at home when I finally shower."
b. "I should measure the drainage each day to make sure it is less than an ounce."
c. "I should be careful how I lie in bed so that I will not kink the tubing."
d. "If there is a foul odor from the drainage, I should contact my doctor."
ANS: A
The drainage tubes (such as a Jackson-Pratt drain) lie just under the skin but need to be removed by the health care professional in about 1 to 3 weeks at an office visit. Drainage should be less than 25 mL in a day's time. The client should be aware of her positioning to prevent kinking of the tubing. A foul odor from the drainage may indicate an infection; the doctor should be contacted immediately.
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