The client returns to the nursing unit following a pyelolithotomy for removal of a kidney stone. A Penrose drain is in place. Which of the following would the nurse include in the client’s postoperative care?
A. Sterile irrigation of the Penrose drain.
B. Frequent dressing changes around the Penrose drain.
C. Weighing the dressings.
D. Maintaining the client’s position on the affected side.
Correct Answer: B. Frequent dressing changes around the Penrose drain.
Frequent dressing changes around the Penrose drain is required to protect the skin against breakdown from urinary drainage. If urinary drainage is excessive, an ostomy pouch may be placed over the drain to protect the skin. Change the dressing 2 times every day and anytime it’s wet or loose. It’s best to change it around the same time every day.
Option A: A Penrose drain is not irrigated. A Penrose drain is a soft, flat, flexible tube made of latex. It lets blood and other fluids move out of the area of the surgery. This keeps fluid from collecting under the incision (surgical cut) and causing infection.
Option C: Weighing the dressings is not necessary. Look at the color and amount of drainage and notice any odor before throwing it away. Write down what you see and smell in the drainage log at the end of this resource.
Option D: Placing the client on the affected side will prevent a free flow of urine through the drain. Part of the Penrose drain will be inside the body. One or both ends of the drain will come out of the incision. Some blood and fluid will flow out of the drain onto a dressing (gauze bandage) around it.
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