NCLEX RN Exam Questions Related

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Which of the following interventions should the nurse use when working with a Jackson-Pratt drain?

  • A. Strip the tubing to remove clots by milking the tubing back toward the client
  • B. Empty the drain when the amount of fluid reaches 25 cc
  • C. Strip the tubing to remove clots by milking the tubing away from the client
  • D. Maintain the level of the drain above the client's incision
Correct Answer: C

Rationale: A Jackson-Pratt drain is a type of active wound drain that may be placed following a surgical procedure. This drain actively draws excess blood and fluid out of the wound. If clots develop within the tubing, the nurse should strip the tubing by milking it in a direction away from the client. This action helps to ensure the drain remains patent and effective. Option A is incorrect because the tubing should be milked away from the client, not towards. Option B is incorrect as the drain should be emptied based on the healthcare provider's orders, not at a fixed volume. Option D is incorrect because the level of the drain should be below the level of the incision to allow drainage by gravity.