The client is admitted to the surgical unit postoperatively with a wound drain (Jackson-Pratt) in place. Which of the following correctly describes the primary purpose of a Jackson-Pratt?

1. It decreases the risk of infection.
2. It decreases the risk of evisceration and dehiscence.
3. It provides an accurate measurement of wound drainage.
4. It assists in the evacuation of fluid and blood from the surgical wound.


4

Rationale: Drains are placed in some wounds before the surgical incision is closed to prevent fluid from collecting between the surfaces of the wound, which would separate wound surfaces and prevent them from growing together to heal the wound.

Nursing

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A nurse sees the term "proptosis" in a child's medical record. Which physical assessment does the nurse plan to incorporate into the child's exam based on this finding?

A. Balance testing B. Hearing screen C. Visual acuity D. Strength testing

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A patient's chief complaint is an initial incident of vomiting followed by the onset of abdominal pain that has lasted more than 3 hours

To examine the patient's abdominal pain, you apply firm pressure to his abdomen for 4 seconds with your hand at a 90° angle and your fingers extended. After you release the pressure, the patient complains of pain at the pressure site, indicating a. referred rebound tenderness. c. direct rebound tenderness. b. localized pain. d. positive Cullen's sign.

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The nurse calculates that a child with a burn injury is to receive 3,600 ml of intravenous fluid over the next 24 hours. How much of this fluid should the nurse provide to the patient during the first 8 hours?

A) 900 ml B) 1,200 ml C) 1,800 ml D) 2,700 ml

Nursing

The nurse is preparing an injection of 0.45 mL of medication for a pediatric patient. Which syringe is most appropriate?

a. Tuberculin syringe b. Insulin syringe c. 3-mL syringe d. 10-mL syringe

Nursing