Author Question: The client is admitted to the surgical unit postoperatively with a wound drain (Jackson-Pratt) in ... (Read 41 times)

SGallaher96 · **on:** Jul 22, 2018

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.

Question 2

The nurse has just reassessed the condition of the postoperative client who was admitted 1 hour ago to the surgical unit. The nurse monitors which of the following parameters during the next hour most carefully?

1. Urinary output of 20 mL/hr
2. Temperature of 37.6 C (99.6 F)
3. Blood pressure of 116/78 mm Hg
4. Serous drainage on the surgical dressing

b614102004 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

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.

Answer to Question 2

1

Rationale: Urine output should be maintained at a minimum of 30 mL/hr for an adult. An output of less than 30 mL/hr for each of two consecutive hours should be reported to the physician. A temperature above 37.7 C (100 F) or below 36.1 C (97 F) and a falling systolic blood pres-sure, under 90 mm Hg, are usually considered reportable at once. The client's preoperative or baseline blood pressure is used to make informed postoperative comparisons. Moderate or light serous drainage from the surgical site is considered normal.