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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Placing the client on their left side in Trendelenburg position (head down, feet up) helps trap any air in the right atrium and prevents it from entering the pulmonary circulation, reducing the risk of an air embolism affecting the lungs.
B. Replacing the infusion system does not address the immediate need to manage an air embolism. The primary intervention is positioning and monitoring.
C. Removing the catheter is not the initial priority. The focus should be on managing the air embolism and ensuring the client is in the correct position.
D. Preparing for chest tube insertion is not appropriate unless there is evidence of a pneumothorax or hemothorax. The immediate concern is managing the air embolism.
Correct Answer is B
Explanation
A. Osteoarthritis is not known to cause SIADH. It is a degenerative joint disease and does not typically affect antidiuretic hormone regulation.
B. Small Cell Lung cancer is associated with SIADH as it can produce ectopic ADH, leading to increased water retention and dilutional hyponatremia.
C. Dyspepsia is a digestive disorder and is not related to SIADH. It involves discomfort or pain in the upper abdomen.
D. Liver cirrhosis can cause fluid imbalance and hyponatremia, but it is not a primary cause of SIADH. SIADH is more commonly associated with malignancies like Small Cell Lung cancer.
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