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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Hirsutism is more commonly associated with Cushing's syndrome due to excess androgen production. Addison's disease, on the other hand, involves insufficient production of adrenal hormones.
B. Purple striations, or striae, are a characteristic finding in Cushing's syndrome as a result of prolonged exposure to high levels of cortisol, not typically seen in Addison's disease.
C. Hyperpigmentation, particularly in areas exposed to friction or sun, is a hallmark of Addison's disease. This occurs due to increased levels of ACTH, which also stimulates melanocytes.
D. Intention tremors are typically associated with neurological disorders such as multiple sclerosis, and are not a characteristic finding in Addison's disease.
Correct Answer is B
Explanation
A. Pain complaints are a common issue in skeletal traction and should be managed with appropriate interventions, but they do not warrant the removal of weights.
B. In a life-threatening situation, such as an acute deterioration in the client's condition, it is appropriate to remove the weights to address the emergency and stabilize the patient.
C. X-ray imaging should be coordinated with the traction team, but weights should not be removed solely for diagnostic procedures.
D. Repositioning in bed should be done carefully while maintaining the traction setup; removing weights is not typically required for this purpose.
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