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. Mask: The mask is removed after the gloves to prevent any contaminants from the gloves from touching the face, particularly around the mouth and nose area. Removing the mask first could increase the risk of exposure to pathogens.

B. Face shield: Similar to the mask, the face shield is also removed after the gloves. This helps to avoid contamination from the gloves to the face. Removing the face shield before the gloves could pose a risk of exposure to infectious materials.

C. Gown: The gown is typically removed after the gloves to ensure that any contaminants on the gloves do not come into contact with the nurse's skin or clothing. Removing the gown before the gloves can also lead to cross-contamination.

D. Gloves: Gloves should be the first item removed when taking off personal protective equipment. This is because gloves are the most likely to be contaminated with infectious materials. Removing them first minimizes the risk of transferring pathogens to other areas of the body or clothing during the process of doffing PPE. After removing the gloves, the nurse can safely proceed to remove other items, such as the gown, face shield, and mask, following proper protocols.

A. "Your roommate is Catholic and her priest comes to see her, is that a problem for you?" B. "Can I call the Hindu hospital chaplain to make a visit with you today?" C. "Can you tell me how your culture will impact the care I will give?" D. “I will be sure to get a menu for you without any beef and beef related foods."

Correct Answer is C

Explanation

A. "Your roommate is Catholic and her priest comes to see her, is that a problem for you?": This statement may inadvertently introduce a concern or discomfort about the roommate's religious practices. It does not focus on the needs or preferences of the patient and could be perceived as dismissive of the patient's own beliefs.

B. "Can I call the Hindu hospital chaplain to make a visit with you today?": While offering spiritual support is important, this question assumes the patient identifies with Hinduism without confirming their preferences or beliefs first. It is better to first ask about the patient’s specific cultural or spiritual needs.

C. "Can you tell me how your culture will impact the care I will give?": This approach demonstrates respect for the patient's cultural background and invites them to share their beliefs, values, and preferences. It allows for an open dialogue and helps the nurse understand how to provide culturally competent care tailored to the patient’s needs.

D. "I will be sure to get a menu for you without any beef and beef-related foods.": While it is important to accommodate dietary restrictions, this statement assumes the patient avoids beef without first confirming their dietary preferences or cultural practices. It is essential to ask about dietary restrictions directly to ensure the patient’s preferences are respected.

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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?

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