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 A

Explanation

Choice A reason: Withhold oral fluids and food

Withholding oral fluids and food (NPO status) is a critical intervention for clients with acute pancreatitis. This helps to rest the pancreas by reducing the stimulation of pancreatic enzyme secretion, which can exacerbate inflammation and pain. Maintaining NPO status is essential to prevent further pancreatic damage and to allow the pancreas to heal.

Choice B reason: Auscultate the client’s lungs

While auscultating the lungs is an important part of the overall assessment, it is not the immediate priority after pain management in acute pancreatitis. Respiratory complications can occur, but the primary focus should be on managing the pancreatic inflammation and preventing further damage.

Choice C reason: Provide oral hygiene

Providing oral hygiene is important for overall patient care, especially when the client is NPO. However, it is not the priority intervention immediately after pain management. The primary concern is to prevent further pancreatic stimulation and manage the inflammation.

Choice D reason: Assist the client to a side-lying position

Assisting the client to a side-lying position can help with comfort and may be beneficial in managing pain. However, it is not the priority intervention. The main focus should be on preventing further pancreatic stimulation by withholding oral intake.

Correct Answer is ["5.3"]

Explanation

Step 1: Convert the child’s weight from pounds to kilograms.

Weight in pounds = 28 lb
Conversion factor = 1 kg ÷ 2.2 lb
Weight in kilograms = 28 lb ÷ 2.2
Result: 12.727 kg (rounded to three decimal places)

Step 2: Calculate the dose of acetaminophen in mg.

Dose required = 10 mg × Weight in kg
Dose required = 10 mg × 12.727 kg
Result: 127.27 mg (rounded to two decimal places)

Step 3: Determine the volume of acetaminophen solution needed in mL.

Concentration of acetaminophen = 120 mg ÷ 5 mL
Volume required (mL) = Dose required (mg) ÷ Concentration (mg/mL)
Volume required (mL) = 127.27 mg ÷ (120 mg ÷ 5 mL)
Result: 127.27 mg ÷ 24 mg/mL
Result: 5.303 mL (rounded to three decimal places)

Step 4: Round the volume to the nearest tenth.

Rounded result: 5.3 mL

Final Answer: The nurse should administer 5.3 mL of acetaminophen.

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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

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has acute pancreatitis. After treating the client’s pain, which of the following should the nurse address as the priority intervention?

Correct Answer is A

Explanation

A nurse is preparing to administer acetaminophen 10 mg/kg/dose to a child who weighs 28 lb. The amount available is acetaminophen 120 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["5.3"]

Explanation

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