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Practice Question

While assessing the client's abdomen, you note that the Jackson-Pratt drain's reservoir is expanded and half full of blood. Which is the appropriate action for you to take at this time?

Answer Choices:

Correct Answer:

Empty the reservoir.

Rationale:

⚫ When the Jackson-Pratt drain reservoir is half full, it should be emptied to maintain negative pressure (suction) essential for proper drainage of blood and fluids.

⚫ Failure to empty the reservoir can result in backflow, impaired drainage, and increased risk of infection or hematoma.

⚫ Immediate emptying is necessary to maintain the functionality of the drainage system.

⚫ Removing the drain or delaying notification without emptying is inappropriate unless significant bleeding occurs.

⚫ Proper management promotes wound healing and prevents complications.

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This question is from ATI PN Custom Fundamentals CH38 Exam which contains 50 questions.

More Questions from This Exam
A nurse performing a right eye irrigation will position the patient:

Answer Choices:

A. Supine with the head tilted toward the right eye.
B. Upright with the head tilted toward the left eye.
C. Upright with the head hyperextended.
D. Supine with the head hyperextended.
The nurse changing a wet to dry normal saline dressing for a patient with an ulcer on the heel finds that the old dressing is stuck to the wound bed. The nurse's most beneficial intervention would be to:

Answer Choices:

A. Moisten it with povidone iodine.
B. Pull it off using slow, steady pressure.
C. Add normal saline to loosen it.
D. Leave it in place and cover it with new, wet dressings.
The nurse is performing a dry sterile dressing change for an abdominal wound. The nurse should use a swab to clean:

Answer Choices:

A. From the left to the right across the wound.
B. From the outer abdomen toward the wound.
C. In a circular motion around the wound, circling to the outside.
D. Directly over the wound.
A nurse is collecting data on a client who has a stage 1 pressure injury. Which of the following findings should the nurse expect?

Answer Choices:

A. Full thickness skin loss with visible adipose tissue.
B. Full thickness skin loss with visible bone.
C. Intact skin with localized erythema.
D. Partial-thickness skin loss with red tissue in the wound bed.
When preparing to change a sterile dressing over an incision, it is most important to remember to:

Answer Choices:

A. Remind him to remain very still during the procedure.
B. Place a discard bag close to the wound.
C. Change gloves after removing the old dressing.
D. Refrain from talking while the wound is uncovered.
From Exam
ATI PN Custom Fundamentals CH38 Exam

50 Questions

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Question Details
  • Category: LPN Nursing Exam(s)
  • Subcategory: LPN ATI Exams
  • Domain: Fundamentals of Nursing
  • Answer Choices: 4
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