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 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.

A. Obtain a culture of the drainage. B. Document the amount of drainage. C. Notify the client's provider. D. Check the drainage for glucose.

Correct Answer is D

Explanation

A. Obtaining a culture may be necessary if an infection is suspected, but checking the type of drainage takes priority to determine the nature of the fluid.
B. Documenting the amount of drainage is important but should be done after determining the type of drainage.
C. Notifying the provider is crucial if the drainage is abnormal, but identifying the nature of the drainage should come first.
D. Checking the drainage for glucose is critical as it may indicate cerebrospinal fluid (CSF) leakage, a serious complication that requires prompt intervention.

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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

Naxlex Comprehensive Predictor Exams

A nurse is preparing for the admission of a client who has suspected active tuberculosis. Which of the following precautions should the nurse plan to implement to safely care for this client?

Correct Answer is D

Explanation

A nurse is caring for a client who is 1 day postoperative following a transsphenoidal hypophysectomy. While assessing the client, the nurse notes a large area of clear drainage seeping from the nasal packing. Which of the following should be the nurse's initial action?

Correct Answer is D

Explanation

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