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 B

Explanation

A. Paresthesia, or abnormal sensation, can occur with spinal cord injuries but is not a primary type of disability specific to injury at T2-T3.
B. Paraplegia, or paralysis of the lower half of the body, is anticipated with a spinal cord injury at the T2-T3 level, affecting the thoracic region and below.
C. Quadriplegia, or paralysis of all four limbs, results from injuries at the cervical spinal cord levels, not the thoracic levels.
D. Hemiplegia, or paralysis on one side of the body, is typically associated with brain injuries or strokes, not spinal cord injuries at T2-T3.

A. The client is experiencing bradypnea. B. The client's PaCO2 is 50 mmHg. C. The client's blood pressure is 170/96. D. The client's PaO2 remains at 40 mmHg

Correct Answer is D

Explanation

A. Bradypnea is not a hallmark sign of ARDS; ARDS typically involves tachypnea or rapid breathing.
B. An elevated PaCO2 indicates hypercapnia but is not specific to ARDS.
C. Elevated blood pressure is not a specific indicator of ARDS.
D. A persistently low PaO2 despite receiving high-flow oxygen (such as from a non-rebreather mask) is a hallmark sign of ARDS, indicating severe hypoxemia and impaired gas exchange.

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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 caring for a client who has had a spinal cord injury at the level of the T2-T3 vertebrae. When planning care, the nurse should anticipate which of the following types of disability?

Correct Answer is B

Explanation

You are providing care to a patient who is being treated for aspiration pneumonia. The client is on a 100% non-rebreather mask. Which finding below is a HALLMARK sign and symptom that the client is developing acute respiratory distress syndrome (ARDS)?

Correct Answer is D

Explanation

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