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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:

🩸 The Jackson-Pratt (JP) drain functions by applying suction to draw out wound drainage.

🩸 When the reservoir is expanded and half full, the suction is no longer effective.

🩸 Emptying and recompressing the reservoir restores negative pressure and ensures continued drainage. This is a routine part of nursing care.

🩸 Leaving it until the end of the shift delays necessary drainage management.

🩸 Removing the drain requires a provider's order and is not appropriate at this time.

🩸 Notifying the surgeon is only necessary if the drainage is excessive, purulent, or otherwise concerning—not simply because the bulb is half full.

Want to practice more questions like this?

This question is from ATI PN Custom Fundamentals CH 38 which contains 50 questions.

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A nurse performing a right eye irrigation will position the patient:

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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:

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A. Moisten it with povidone iodine.
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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.
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When preparing to change a sterile dressing over an incision, it is most important to remember to:

Answer Choices:

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From Exam
ATI PN Custom Fundamentals CH 38

50 Questions

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Question Details
  • Category: LPN - Nursing Exam(s)
  • Subcategory: ATI Exams
  • Domain: FUNDAMENTALS OF NURSING PN
  • Answer Choices: 4
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