NCLEX-PN

Category - Physiological Adaptation

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A nurse is monitoring a female client who was admitted for cholecystectomy. A Jackson Pratt is used to collect the drainage. The nurse expects the physician to order the removal of the drain if which of the following observations is made?

A clear urine output in the past 24 hours
Less than 30 mL of drainage is collected in 24 hours
When the surgical wound heals
Client has tolerated fats in her diet

Explanation

Answer: B - The Jackson Pratt is removed once the total number of drainage collected in 24 hours is below 30 mL. For this reason, it is essential for the nurse to monitor the amount of fluid that is drained by the JP drain within the day. The other options are not appropriate.

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