The nurse is teaching a post-operative client about the purpose of their surgical drain. The nurse should include in this teaching which of the following statements regarding the purpose of the Jackson-Pratt (JP) drain?
"The JP drain uses negative suction to drain fluid from the wound."
"The bulb must stay inflated at all times to work correctly."
"This drain minimizes the chance for bacteria to enter the surgical site."
"You will receive medication through this device."
The Correct Answer is A
The correct answer is choice A: "The JP drain uses negative suction to drain fluid from the wound." The purpose of the Jackson-Pratt drain is to remove excess fluid or blood from the surgical site. This drain uses a bulb-like container that creates negative pressure or suction, which allows the fluid to be removed from the wound into the container. It is important to maintain negative pressure to ensure that the drain is functioning properly. The nurse should also instruct the client on how to monitor the drainage and how often to empty the container, and to report any changes in the amount, color, or odor of the fluid to the healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A, tertiary.
Tertiary prevention aims to improve quality of life and reduce the negative impact of a chronic illness or disability, such as helping the man regain lost function after a stroke. Occupational therapy is a common intervention in tertiary prevention, as it focuses on helping patients adapt to their limitations and develop compensatory strategies to perform daily activities.
Primary prevention aims to prevent a disease or injury before it occurs, such as immunizations or health education to prevent stroke risk factors. Secondary prevention aims to detect and treat a disease in its early stages to prevent complications, such as screening for high blood pressure or high cholesterol levels. Quaternary prevention aims to reduce the harm caused by unnecessary or excessive healthcare interventions, such as avoiding overprescribing medications.
Correct Answer is D
Explanation
The correct answer is choice D. Identify the five major drug side effects before discharge tomorrow. A measurable client goal should be specific, observable, and
measurable. It should describe a behavior or outcome that the client can achieve. Identifying the five major drug side effects is specific and measurable. Sitting out of bed in a chair is too general, while verbalizing feelings about surgery at some point is not observable and not time-bound. Eating low sodium food is specific but not measurable.
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