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 D
Explanation
A. Gowns and gloves are not required for TB precautions; a mask is necessary to protect against airborne transmission.
B. Standard protocols for personal protective equipment (PPE) should be followed, but they do not specifically address the need for specialized precautions in TB care.
C. Clients with TB should not be placed in a room with others, even those requiring droplet precautions, due to the risk of airborne transmission.
D. A private room with a special ventilation system, such as negative pressure, is essential for isolating clients with active TB to prevent airborne transmission.
Correct Answer is A
Explanation
A. Cardiac enzyme tests, such as troponin and creatine kinase-MB, are used to assess the extent of myocardial damage. Elevated levels of these enzymes indicate that heart muscle cells have been injured or have died.
B. Cardiac enzymes do not localize the MI; imaging studies like echocardiography or coronary angiography are required to identify the specific location of myocardial damage.
C. Pulmonary congestion is assessed using chest X-rays or clinical symptoms, not through cardiac enzyme levels.
D. Cardiac enzyme tests do not provide information about the structure or mobility of heart valves. This information is obtained through echocardiography or other imaging techniques.
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