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

To provide a means for medication administration

To prevent fluid from accumulating in the wound

To eliminate the need for wound irrigations

To limit the amount of bleeding from the surgical site

Answer and Explanation

The Correct Answer is B

A. A JP drain is not used for medication administration; its purpose is to remove fluid from the wound area.

B. The primary purpose of a JP drain is to prevent fluid from accumulating in the wound, which helps reduce the risk of infection and promotes healing by allowing continuous drainage of postoperative fluids.

C. While a JP drain helps manage fluid accumulation, it does not eliminate the need for wound irrigations if prescribed as part of the care plan.

D. A JP drain helps manage excess fluid but is not specifically designed to limit bleeding from the surgical site. Bleeding control is generally managed through other measures and monitoring.

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Correct Answer is C

Explanation

A. Fresh fruits and vegetables can be contaminated with bacteria and should be avoided or thoroughly washed to prevent infections in clients with neutropenia.
B. The client should monitor their temperature daily, not just weekly, as an elevated temperature can indicate an infection.
C. Avoiding crowds is important for clients with neutropenia to reduce the risk of exposure to infectious agents.
D. While mild exercise can be beneficial, the priority for clients with neutropenia is to avoid potential sources of infection, which includes avoiding public places where infections might be more prevalent.

A. Pancrelipase 500 units/kg PO three times daily with meals B. Initiate a low-residue diet C. Pantoprazole 80 mg IV bolus twice daily D. Ambulate twice daily E. Ambulate twice daily

Correct Answer is C

Explanation

A. Pancrelipase is used for enzyme replacement therapy in chronic pancreatitis, not acute pancreatitis. In acute pancreatitis, the focus is on rest and managing symptoms rather than enzyme supplementation.

B. Initiating a low-residue diet is not appropriate during the acute phase of pancreatitis. Clients are typically NPO or on a clear liquid diet initially to allow the pancreas to rest and heal.

C. Pantoprazole is a proton pump inhibitor that reduces gastric acid production and is commonly used to prevent stress ulcers and manage symptoms in clients with acute pancreatitis. Reducing gastric acid helps in managing complications associated with pancreatitis.

D. Ambulation is generally encouraged once the client is stable but is not a primary prescription for acute pancreatitis. The initial focus is on managing symptoms and ensuring adequate rest.

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A nurse is caring for a client who has a Jackson-Pratt (JP) drain in place after surgery for an open reduction and internal fixation (ORIF). 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 providing teaching to a client who has neutropenia. Which of the following information should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is admitting a client who has acute pancreatitis. Which of the following provider prescriptions should the nurse anticipate?

Correct Answer is C

Explanation

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