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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Raw celery is not recommended for toddlers as it can be a choking hazard due to its stringy texture and difficulty in chewing. Toddlers have smaller airways and less developed chewing skills, making raw celery a risky snack option.
Choice B reason: Grapes can also be a choking hazard for toddlers if not prepared properly. Whole grapes are the perfect size to block a toddler’s airway. If grapes are to be given, they should be cut into small, manageable pieces to reduce the risk of choking.
Choice C reason: Peanut butter is a nutritious option but should be given with caution. It can be sticky and difficult for toddlers to swallow, posing a choking risk. It is best to spread peanut butter thinly on bread or mix it with other foods to make it easier to consume.
Choice D reason: Sliced bananas are an excellent snack for toddlers. They are soft, easy to chew, and unlikely to cause choking. Bananas are also rich in essential nutrients like potassium and vitamins, making them a healthy choice.
Correct Answer is D
Explanation
Choice A reason:
Naproxen is classified as a pregnancy category B medication during the first and second trimesters but becomes category D in the third trimester due to potential risks to the fetus. It is generally advised to avoid nonsteroidal anti-inflammatory drugs (NSAIDs) like naproxen during pregnancy unless specifically recommended by a healthcare provider.
Choice B reason:
Aspirin is not considered safe during pregnancy, especially in higher doses. It is classified as category D in the third trimester due to risks such as premature closure of the ductus arteriosus and potential bleeding complications. Low-dose aspirin may be prescribed in specific cases, but it is not generally recommended as an over-the-counter option for pregnant women.
Choice C reason:
Ibuprofen, like naproxen, is an NSAID and is classified as category B during the first and second trimesters but category D in the third trimester. It is generally advised to avoid ibuprofen during pregnancy due to potential risks to the fetus, particularly in the later stages of pregnancy.
Choice D reason:
Acetaminophen is classified as a pregnancy category B medication and is considered safe for use during all trimesters of pregnancy. It is the preferred over-the-counter analgesic and antipyretic for pregnant women due to its safety profile. Acetaminophen does not carry the same risks as NSAIDs and is widely used to manage pain and fever during pregnancy.
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