A patient who underwent removal of a breast must be discharged home with a Jackson-Pratt wound drain in place.
As the patient demonstrates the procedure for emptying it, the nurse should correct her if she:

Refrains from touching the drainage spout with the hand.

Uses one alcohol wipe to clean both the spout and the plug.

Points the device away from herself while opening it.

Compresses the device in the hand before closing.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Refraining from touching the drainage spout with the hand is a correct practice. This helps to prevent contamination of the drain.

Choice B rationale:

Using one alcohol wipe to clean both the spout and the plug is incorrect. Each part should be cleaned with a separate alcohol wipe to prevent cross-contamination.

Choice C rationale:

Pointing the device away from oneself while opening it is a correct practice. This helps to prevent accidental exposure to the drainage fluid.

Choice D rationale:

Compressing the device in the hand before closing is a correct practice. This helps to maintain the suction in the drain.

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Correct Answer is C

Explanation

Choice A rationale:

There is probably a deeper injury than what appears on the surface is incorrect because swelling at the wound site is a normal part of the inflammatory stage of wound healing.

Choice B rationale:

He has lain in one position for such a long time that swelling has occurred is incorrect because swelling at the wound site is a normal part of the inflammatory stage of wound healing.

Choice C rationale:

Vessels have dilated and allowed plasma to leak into the wound site is the correct answer because this is a normal part of the inflammatory stage of wound healing.

Choice D rationale:

An infection is in progress at the wound site is incorrect because while swelling can be a sign of infection, it is also a normal part of the inflammatory stage of wound healing.

A. Test the temperature of the solution. B. Use only sterile equipment and solution. C. Position the patient comfortably. D. Soak only the affected area.

Correct Answer is A

Explanation

Choice A rationale:

Testing the temperature of the solution is crucial to prevent burns.

Choice B rationale:

While using sterile equipment and solution is important, it’s not the most important in a hot soak treatment.

Choice C rationale:

Comfort is important but not as critical as preventing burns.

Choice D rationale:

Soaking only the affected area is good practice but not as vital as preventing burns.

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A patient who underwent removal of a breast must be discharged home with a Jackson-Pratt wound drain in place.As the patient demonstrates the procedure for emptying it, the nurse should correct her if she:

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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A patient who underwent removal of a breast must be discharged home with a Jackson-Pratt wound drain in place.
As the patient demonstrates the procedure for emptying it, the nurse should correct her if she: