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 A

Explanation

A. A decrease in heart rate can indicate adequate fluid resuscitation as it suggests improved circulatory status and reduced compensatory tachycardia, which is a response to hypovolemia.
B. An increase, rather than a decrease, in blood pressure would typically indicate improved fluid status and perfusion following adequate fluid resuscitation.
C. Weight changes are not an immediate indicator of fluid resuscitation adequacy. Weight reflects overall fluid balance over a longer period.
D. An increase, not a decrease, in urine output is expected with adequate fluid resuscitation, as improved renal perfusion results in better urine production.

A. Thyroid stimulating hormone (TSH) B. Free T4 C. Serum T3 D. Serum T4

Correct Answer is A

Explanation

A. In primary hypothyroidism, the thyroid gland is not producing enough thyroid hormones, leading to an elevation in TSH as the pituitary gland compensates by increasing its stimulation of the thyroid.
B. Free T4 is typically low in primary hypothyroidism, not elevated.
C. Serum T3 is usually low in primary hypothyroidism, as it is a thyroid hormone that decreases when thyroid function is impaired.
D. Serum T4 is also typically low in primary hypothyroidism, reflecting the inadequate production of thyroid hormones.

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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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