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. Handrails in the bathroom are a safety feature designed to prevent falls, which is beneficial for clients with decreased vision and other mobility issues.

B. Using a microwave for cooking is generally safe and convenient, especially for clients with decreased vision, as it reduces the need for handling hot pots and pans.

C. Scatter rugs can be a significant safety risk as they may cause tripping hazards, particularly for individuals with vision problems who may not see them clearly.

D. Electrical cords placed along the walls are less of a risk compared to scatter rugs. While they should be properly managed to avoid tripping hazards, they do not pose as immediate a risk as scattered rugs.

A. Learn to control impulsive behavior. B. Establish the ability to communicate effectively. C. Compensate for loss of depth perception. D. Improve left-side motor function.

Correct Answer is B

Explanation

A. Controlling impulsive behavior is more relevant to right hemispheric strokes, which often affect impulse control and behavior.
B. A left hemispheric CVA often affects language and communication skills, making it crucial to focus on improving these abilities.
C. Loss of depth perception is more associated with right hemispheric strokes.
D. Motor function improvement for the affected side (right side for left hemispheric stroke) is important, but communication deficits are a primary focus for left hemispheric strokes.

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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

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Correct Answer is C

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Correct Answer is B

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