The nurse empties 80 mL of sanguineous drainage from the Jackson-Pratt drain in the client's hip after hip surgery. 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.
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Which of the following individuals is most likely to be the victim of violent crime?
a. A 10-year-old white female b. A 15-year-old black female c. A 15-year -old black male d. A10-year-old white male
A nurse is teaching a patient how to use a transcutaneous electrical nerve stimulation (TENS) unit and how it works. What is the most appropriate information for the nurse to relay?
a. "The stimulation of the skin seeks to lo-calize the acute pain and will last for sev-eral minutes after the unit is applied." b. "This unit stimulates both the skin and the underlying tissues to decrease the intensity of the pain." c. "The mechanism for use of this unit is well known and can be read." d. "During those days when using the TENS unit, no analgesic can be given."
A patient tells the nurse that he thinks he has cancer because every other male family member was diagnosed with cancer at the same age. The nurse responds, "Everything will be all right
" Which nontherapeutic communication technique has the nurse used? 1. Rejecting 2. Giving advice 3. Giving disapproval 4. Giving reassurance
Which one of the following is not a possible cue to mental retardation?
a. Resentment toward the peace officer b. Muscle control difficulty c. Self-endangering behavior d. Purposeless repetitive behavior