A nurse is caring for a client who has a Jackson-Pratt drain in place after surgery for an open reduction and internal fixation. The nurse should understand that the JP drain was placed for which of the following purposes?

To eliminate the need for wound irrigations.

To limit the amount of bleeding from the surgical site.

To prevent fluid from accumulating in the wound.

To provide a means for medication administration.

Answer and Explanation

The Correct Answer is C

Choice A reason:

The purpose of a Jackson-Pratt (JP) drain is not to eliminate the need for wound irrigations. Wound irrigation is a critical step in wound care that helps remove debris, reduce bacterial load, and create an optimal environment for healing. The JP drain helps manage fluid accumulation but does not replace the need for proper wound irrigation.

Choice B reason:

While a JP drain can help manage bleeding by providing a pathway for blood to exit the wound, its primary purpose is not to limit bleeding. Instead, it is designed to prevent the accumulation of fluids such as blood, serous fluid, and other exudates that can impede healing and increase the risk of infection. Managing bleeding typically involves other interventions such as surgical hemostasis techniques.

Choice C reason:

The primary purpose of a Jackson-Pratt drain is to prevent fluid from accumulating in the wound. After surgery, wounds can produce various fluids, including blood and lymphatic fluid. Accumulation of these fluids can delay healing and increase the risk of infection. The JP drain uses gentle suction to draw these fluids away from the wound site, promoting faster healing and reducing the risk of complications.

Choice D reason:

A JP drain is not typically used to provide a means for medication administration. Medications are usually administered through other routes such as oral, intravenous, or through specialized catheters designed for medication delivery. The JP drain is specifically designed for fluid drainage and not for delivering medications.

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Correct Answer is B

Explanation

Choice A reason:

Explaining the discharge instructions to the client and parents is important for ensuring they understand how to care for the cast and recognize signs of complications. However, this is not the immediate priority. The primary concern should be assessing the client’s current condition to ensure there are no immediate risks, such as compromised circulation or nerve damage.

Choice B reason:

Performing a neurovascular assessment is the priority action. This assessment involves checking for circulation, movement, and sensation in the affected limb. It is crucial to identify any signs of neurovascular compromise, such as decreased blood flow or nerve damage, which can occur with a new cast. Early detection of these issues can prevent serious complications.

Choice C reason:

Providing reassurance to the client and parents is important for their emotional well-being and can help reduce anxiety. However, it is not the immediate priority. Ensuring the physical health and safety of the client through a neurovascular assessment takes precedence.

Choice D reason:

Applying an ice pack to the casted leg can help reduce swelling and pain, but it is not the immediate priority. The first step should be to assess the neurovascular status to ensure there are no urgent issues that need to be addressed.

A. Measuring a client’s I&O. B. Obtaining a client’s weight. C. Providing postmortem care for a client. D. Inserting a nasogastric tube for a client.

Correct Answer is D

Explanation

Choice A reason:

Measuring a client’s intake and output (I&O) is a task that can be performed by assistive personnel (AP). This task involves recording the amount of fluids a client consumes and excretes, which does not require the specialized skills of an LPN. Therefore, it is more appropriate to assign this task to the AP.

Choice B reason:

Obtaining a client’s weight is another task that can be delegated to assistive personnel (AP). This task involves using a scale to measure the client’s weight and recording the result. It is a routine task that does not require the advanced training of an LPN.

Choice C reason:

Providing postmortem care for a client can be performed by assistive personnel (AP) under the supervision of an RN or LPN. This task involves preparing the body after death, which includes cleaning and positioning the body. While LPNs can perform this task, it is not exclusive to their scope of practice and can be delegated to AP.

Choice D reason:

Inserting a nasogastric tube for a client is a task that requires the specialized skills and training of an LPN. This procedure involves inserting a tube through the client’s nose into the stomach, which requires knowledge of anatomy, sterile technique, and the ability to assess for complications. Therefore, this task should be assigned to the LPN.

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A nurse is caring for a client who has a Jackson-Pratt drain in place after surgery for an open reduction and internal fixation. The nurse should understand that the JP drain was placed for which of the following purposes?

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A nurse is caring for a client who has a Jackson-Pratt drain in place after surgery for an open reduction and internal fixation. The nurse should understand that the JP drain was placed for which of the following purposes?