A nurse empties 40 mL of sanguineous drainage from the Jackson-Pratt drain in the client's incision on the first day after a mastectomy and axillary node dissection. What other actions regarding the drain should the nurse take?
A. Flush the tubing with urokinase to ensure patency.
B. Compress and close the drain to ensure suction.
C. Advance the tubing ½ inch from the insertion site.
D. Clamp the drain for 2 hours and release the clamp for 2 hours.
B
The Jackson-Pratt drain removes fluid from the wound through closed suction. The drain must be compressed and closed to create suction as it slowly re-expands.
You might also like to view...
What should be the priority nursing action during the orientation (introductory) phase of the nurse-client relationship?
1. Acknowledge the client's actions and generate alternative behaviors. 2. Establish rapport and develop treatment goals. 3. Attempt to find alternative placement. 4. Explore how thoughts and feelings about this client may adversely impact nursing care.
Which of the following is accomplished through the use of public policy?
a. Solutions to problems of public concern are developed. b. A rational, logical problem-solving decision-making process is implemented. c. Public safety nets for vulnerable populations are created. d. Economic and business management principles are applied.
A patient in the rehabilitation phase of the burn injury is setting goals with the nurse. What goals would be appropriate at this time? (Mark all that apply.)
A) Increased participation in activities of daily living B) Increased understanding of the planned follow-up care C) Increased control of treatment D) Adjustment to alterations in lifestyle E) Recognition of complications
Obesity is responsible for what pregnancy complications?
a. Prematurity c. Anemia b. Gestational diabetes d. Spontaneous abortion