Which precaution should a nurse take when caring for a client with a Penrose drain?

When caring for a client with a Penrose drain, monitoring for signs of infection at the site is crucial. A Penrose drain is a flexible tube that is placed in a wound to facilitate the flow of fluids, primarily to prevent accumulation and promote healing. Given that it provides an entry point for bacteria, the risk of infection is heightened. Therefore, nurses should observe the insertion site for increased redness, swelling, warmth, or discharge, as these signs indicate potential infection. Regular assessment allows for early detection and timely intervention if complications arise.

The other choices involve actions that would not typically be appropriate or necessary. For instance, changing the drain position every hour is not typically necessary unless directed by a provider. Clamping the drain continuously can lead to fluid accumulation and increased pressure in the wound, potentially causing tissue damage and delaying healing. Sealing the site quickly is also not appropriate as it contradicts the purpose of the drain, which is to allow for continuous drainage and monitoring of the wound.