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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Your baby will receive the first diphtheria, tetanus, pertussis vaccine at the 2-week well-baby visit is incorrect. The first dose of the diphtheria, tetanus, and pertussis (DTaP) vaccine is typically given at 2 months of age, not at 2 weeks.
Choice B reason: Your baby should receive the measles, mumps, rubella vaccine at 6 months is incorrect. The first dose of the measles, mumps, and rubella (MMR) vaccine is usually given at 12 to 15 months of age.
Choice C reason: Your baby will only receive the hepatitis B vaccine prior to discharge is correct. The hepatitis B vaccine is typically given within 24 hours of birth, and it is the only vaccine administered before the newborn is discharged from the hospital.
Choice D reason: Your baby should receive the pneumococcal conjugate vaccine on his first birthday is incorrect. The pneumococcal conjugate vaccine (PCV13) is given in a series of doses starting at 2 months of age, with additional doses at 4 months, 6 months, and a booster dose at 12 to 15 months.
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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