A registered nurse (RN) is watching a nursing student change a dressing and perform care around a Penrose drain. What action by the student warrants intervention by the RN?
a. Cleaning around the drain per agency protocol
b. Placing a new sterile gauze under the drain
c. Securing the drain's safety pin to the sheets
d. Using sterile technique to empty the drain
ANS: C
The safety pin that prevents the drain from slipping back into the client's body should be pinned to the client's gown, not the bedding. Pinning it to the sheets will cause it to pull out when the client turns. The other actions are appropriate.
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