A nurse is caring for a client who has a Jackson-Pratt drain in place after surgery for an open reduction and internal fixation. The nurse should understand that the JP drain was placed for which of the following purposes?

To eliminate the need for wound irrigations.

To limit the amount of bleeding from the surgical site.

To prevent fluid from accumulating in the wound.

To provide a means for medication administration.

Answer and Explanation

The Correct Answer is C

Choice A reason:

The purpose of a Jackson-Pratt (JP) drain is not to eliminate the need for wound irrigations. Wound irrigation is a critical step in wound care that helps remove debris, reduce bacterial load, and create an optimal environment for healing. The JP drain helps manage fluid accumulation but does not replace the need for proper wound irrigation.

Choice B reason:

While a JP drain can help manage bleeding by providing a pathway for blood to exit the wound, its primary purpose is not to limit bleeding. Instead, it is designed to prevent the accumulation of fluids such as blood, serous fluid, and other exudates that can impede healing and increase the risk of infection. Managing bleeding typically involves other interventions such as surgical hemostasis techniques.

Choice C reason:

The primary purpose of a Jackson-Pratt drain is to prevent fluid from accumulating in the wound. After surgery, wounds can produce various fluids, including blood and lymphatic fluid. Accumulation of these fluids can delay healing and increase the risk of infection. The JP drain uses gentle suction to draw these fluids away from the wound site, promoting faster healing and reducing the risk of complications.

Choice D reason:

A JP drain is not typically used to provide a means for medication administration. Medications are usually administered through other routes such as oral, intravenous, or through specialized catheters designed for medication delivery. The JP drain is specifically designed for fluid drainage and not for delivering medications.

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Correct Answer is B

Explanation

Choice A reason: Providing the client with articles from the internet that explain colon cancer stages is not the best approach. While it is important for the client to understand their condition, the nurse should ensure that the information is accurate and tailored to the client’s specific situation. Additionally, the nurse should facilitate a direct conversation between the client and the healthcare provider to address any questions or concerns.

Choice B reason: Encouraging the client to write down questions to ask the provider is an excellent approach. This empowers the client to actively participate in their care and ensures that they have a clear understanding of their diagnosis and treatment options. It also helps the client to remember important questions during their consultation with the provider.

Choice C reason: Explaining the various options available for treatment based on the cancer stage is not within the nurse’s scope of practice. Detailed discussions about treatment options should be conducted by the healthcare provider, who has the expertise to provide accurate and comprehensive information tailored to the client’s specific medical condition.

Choice D reason: Assuring the client that the provider will explain what has been planned is a supportive response, but it does not actively engage the client in their care. While it is important to reassure the client, the nurse should also encourage the client to prepare questions and participate in discussions with the provider to ensure they fully understand their treatment plan.

A. Consume a high-protein diet. B. You may donate blood 6 months after completing the medication regimen. C. Take acetaminophen every 4 hours, as needed, for discomfort. D. Rest frequently throughout the day.

Correct Answer is D

Explanation

Choice A reason: Consume a high-protein diet

A high-protein diet is not typically recommended for clients with hepatitis B. While protein is essential for overall health, excessive protein intake can put additional strain on the liver, which is already compromised in hepatitis B patients. A balanced diet with adequate protein, carbohydrates, and fats is more appropriate.

Choice B reason: You may donate blood 6 months after completing the medication regimen

Clients with hepatitis B should not donate blood. The hepatitis B virus can be transmitted through blood, and even after completing a medication regimen, the virus can still be present in the blood. Therefore, this statement is incorrect and potentially harmful.

Choice C reason: Take acetaminophen every 4 hours, as needed, for discomfort

Acetaminophen should be used with caution in clients with hepatitis B. The liver metabolizes acetaminophen, and excessive use can lead to liver damage. It is crucial to consult with a healthcare provider before taking any medication, including acetaminophen, to avoid exacerbating liver issues.

Choice D reason: Rest frequently throughout the day

Resting frequently throughout the day is an important part of managing hepatitis B. The liver plays a crucial role in energy metabolism, and when it is compromised, clients may experience fatigue. Adequate rest helps the body recover and manage symptoms more effectively.

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A nurse is caring for a client who has a Jackson-Pratt drain in place after surgery for an open reduction and internal fixation. The nurse should understand that the JP drain was placed for which of the following purposes?

Nursing Test Bank

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Explanation

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Correct Answer is D

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