When preparing a patient for a diagnostic peritoneal lavage (DPL), the nurse should
a. insert a nasogastric tube and urinary catheter before the procedure.
b. make sure that a computed tomography scan is performed first to rule out abdominal adhesions.
c. know that the test will tell which specific organ has been injured.
d. know that the return of clear fluid from the abdominal cavity means that the patient does not have an injury.
A
A nasogastric tube and a urinary catheter must be inserted before DPL to avoid accidental perforation of the stomach or bladder. A computed tomography scan requires too much time and should only be done when the patient is stable or DPL is contraindicated. The DPL lacks specificity regarding which organ has sustained injury. Clear drainage fluid should be sent to the laboratory and analyzed for red blood cell count, white blood cell count, bacteria, food, and stool before the patient is declared injury free.
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