NORCET 2 -2021 (Shift…: Identify the following image?

NORCET 2 -2021 (Shift-2)

Medical & Surgical Nursing

Easy

Appeared in: NORCET 2 -2021 (Shift-2)

Explanation

The device in the image is a closed drainage system, specifically a Romovac or Hemovac drain.
It consists of a drainage tube connected to a collapsible, bellows-like reservoir that creates negative pressure (suction) to actively remove fluid from a surgical site.
This design constitutes a 'closed' system because the fluid is collected in a sealed container, minimizing the risk of environmental contamination and infection.
The primary purpose is to prevent the accumulation of blood or fluid in a wound, which can delay healing and serve as a medium for bacterial growth.

Option A: An open drain, like a Penrose drain, allows fluid to drain passively onto a gauze dressing. The device shown is an active suction system that collects fluid in a sealed container.
Option C: A pigtail drain is a type of catheter with a curled end (the 'pigtail') that is typically placed percutaneously under radiologic guidance to drain fluid collections or abscesses. The device in the image is a post-surgical wound drain with a different design and mechanism.
Option D: A Penrose drain is a specific type of open drain. It is a soft, flat, flexible rubber tube that works by gravity and capillary action. The device in the image is a closed suction drain.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification of Surgical Drainage Systems as background academic context rather than a clinical decision trigger.
A nurse's primary responsibilities when managing a closed suction drain include ensuring the drain remains patent, maintaining suction by keeping the reservoir compressed, monitoring the amount and character (color, consistency, odor) of the drainage, and emptying the drain using aseptic technique to prevent infection.
Accurate recording of the drainage output is crucial for assessing fluid balance and detecting potential complications like hemorrhage (sudden increase in bright red blood) or infection (purulent, foul-smelling drainage).
What if? If the bellows reservoir is fully expanded but there is no drainage, the nurse should first check the tubing for kinks or clots. If none are found, it may indicate that drainage has ceased or the drain is blocked, which should be reported to the surgeon.

How to Approach the Question

First, carefully examine the image provided. Identify the key components of the device: a collapsible, concertina-like reservoir, clear tubing, and a port for emptying.
Analyze the function based on the design. The collapsible reservoir suggests it is designed to create suction when it expands.
Consider the term 'closed system'. The fluid is collected in a sealed container, not exposed to the open air, which fits this description.
Evaluate the given options based on your analysis. 'Open drain' is incorrect because the system is sealed. 'Pigtail drain' has a different structure (curled tip). 'Penrose drain' is a type of open drain.
Conclude that 'Close drain' is the correct category that accurately describes the device shown in the image.

Concept Tested & Keywords

Concept Tested: Identification of Surgical Drainage Systems
Stem keywords: Identify, image, drain
Lead-in keywords: Identify
Clinical cues: The image shows a collapsible, bellows-shaped reservoir, which is characteristic of a closed suction drain.

Qu6hsdfnOyERMhmSH8eLlG

E6 Nursing Brunner Adult Health 3SA Vol 1 Part 1 p. 122-124

E6 Nursing Fundamentals Potter Perry 12e Part 6 p. 81-83

E6 Nursing Fundamentals Taylor p. 1094-1096