Final answer:
A nurse should keep the closed-suction drain below the level of the incision after laparotomy, emptying it as needed rather than once a day or every 4 hours, and avoid routine irrigation or clamping during ambulation unless specifically instructed.
Step-by-step explanation:
When managing a closed-suction drain for a client who is postoperative following a laparotomy, the nurse should remember several key points to ensure proper care and promote healing. One essential action is to keep the drain below the level of the incision, which helps to maintain the function of the drain by gravity. This facilitates the removal of fluids from the area to prevent accumulation and possible infection. Emptying the drain more frequently than once a day may be necessary, depending on the instructions given by the healthcare provider and the volume of fluid collected; it is often recommended to empty it when it is half full or according to the hospital's protocols. Clamping the drain during ambulation is not a typical recommendation, as it can interrupt the drainage process and is generally only done when assessing for drainage system leaks, during a drain output check, or as instructed by a physician. Irrigating the drain with saline every 4 hours is not commonly practiced as it can introduce bacteria and increase the risk of infection. Instead, the drain should be monitored for patency and any signs of blockage should be addressed according to the healthcare provider's instructions.