The nurse is teaching a client who is preparing for surgery. Which teaching about a Jackson-Pratt drain will the nurse include?

"The bulb-like system will stay in place permanently after your surgery."

"You will receive medication through this device."

"This drain minimizes the chance for bacteria to enter the surgical site."

"It provides a way to remove drainage and blood from the surgical wound."

Answer and Explanation

The Correct Answer is D

A. "The bulb-like system will stay in place permanently after your surgery.": A Jackson-Pratt drain is a temporary measure used to collect drainage from a surgical site. It is designed to be removed once the output decreases and the surgical site is healing properly, so it does not remain in place permanently.

B. "You will receive medication through this device.": The Jackson-Pratt drain is specifically for draining fluids from the surgical area and does not administer medication. Medications are typically given through separate methods, such as IV or oral administration.

C. "This drain minimizes the chance for bacteria to enter the surgical site.": While proper drainage can help reduce the risk of complications associated with fluid accumulation, the main purpose of the drain is to facilitate the removal of fluids rather than to directly minimize bacterial entry. Maintaining a clean and sterile technique when handling the drain is essential to prevent infection.

D. "It provides a way to remove drainage and blood from the surgical wound.": This accurately reflects the primary function of the Jackson-Pratt drain. It allows for continuous drainage of excess fluids and blood from the surgical site, helping to prevent complications such as hematomas or seromas and promoting better healing outcomes.

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Correct Answer is D

Explanation

A. Discard the dressing in the bedside trash receptacle: This option is inappropriate because it poses a risk of contamination and infection. Regular trash receptacles are not equipped to handle materials that may be contaminated with blood or infectious waste.

B. Enclose the dressing in a single clear plastic bag and discard in the bedside trash receptacle: While enclosing the dressing in a plastic bag is a step toward containment, discarding it in the regular trash still poses a contamination risk and is not compliant with infection control standards for hazardous materials.

C. Double-bag the dressing in clear bags and label it "biohazard": Although double-bagging and labeling would provide additional precautions, this method is not the standard practice for disposing of contaminated wound dressings. It is more appropriate to use designated biohazard containers for infectious waste rather than using bags.

D. Dispose of the dressing in a biohazardous waste container: This is the correct action. Biohazardous waste containers are specifically designed to safely dispose of materials that may be contaminated with blood, body fluids, or infectious agents. Proper disposal helps to prevent the spread of infection and ensures compliance with safety regulations in healthcare settings.

A. "I will wear gloves and a gown when bathing a client who has open skin lesions." B. "I will wear gloves when measuring a client's blood pressure." C. "I will wear gloves whenever I am in contact with clients." D. 1 will wear gloves to minimize the number of times I have to wash my hands."

Correct Answer is A

Explanation

A. "I will wear gloves and a gown when bathing a client who has open skin lesions.": This statement indicates an understanding of the appropriate use of personal protective equipment (PPE) in a situation where there is a risk of exposure to blood or bodily fluids. Wearing gloves and a gown helps protect the AP from potential pathogens present in the client's open skin lesions.

B. "I will wear gloves when measuring a client's blood pressure.": While it may be appropriate to wear gloves for certain procedures, it is not universally required to wear gloves when measuring blood pressure unless there are specific concerns about contamination or exposure to body fluids. This statement does not demonstrate a clear understanding of when gloves are necessary.

C. "I will wear gloves whenever I am in contact with clients.": This statement suggests a lack of understanding of the appropriate use of gloves. Gloves should be used when there is a risk of contact with blood, body fluids, or open wounds, but they are not necessary for all interactions with clients, especially if there is no risk of contamination.

D. "I will wear gloves to minimize the number of times I have to wash my hands.": This statement indicates a misunderstanding of the primary purpose of gloves. Gloves are used to protect both the caregiver and the client from infection, and hand hygiene should still be performed before and after glove use. The focus should be on infection control rather than convenience.

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The nurse is teaching a client who is preparing for surgery. Which teaching about a Jackson-Pratt drain will the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse caring for a client who has an infected wound removes a dressing saturated with blood and purulent drainage. How should the nurse dispose of the dressing material?

Correct Answer is D

Explanation

A nurse is teaching an assistive personnel (AP) about using personal protective equipment while caring for clients. Which of the following statements should the nurse identify as an indication that the AP understands the instructions?

Correct Answer is A

Explanation

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