— 降低風險 · EASY · MCQ —
護理師照護一位放置 Jackson-Pratt 引流管的術後病人。為確保引流液測量準確及引流管功能正常，下列哪項措施最恰當？
A nurse is caring for a postoperative client with a Jackson-Pratt drain. Which action is most appropriate to ensure accurate output measurement and drain function?
- ACompress the bulb and plug the vent to create suction擠壓球體並塞住排氣口以產生負壓
- BPosition the drain bulb above the level of the surgical site將引流球置於高於手術部位的位置
- CEmpty the bulb and measure the fluid using a graduated cylinder✓ 正解排空球體並使用刻度量杯測量引流液
- DFlush the tubing with normal saline every 4 hours每 4 小時以生理食鹽水沖洗管路
— Explanation · 中文詳解 —
Jackson-Pratt（JP）引流管為負壓式引流。使用量杯測量準確度高於目測。A 選項步驟順序錯誤，需先擠壓球體再蓋上栓塞。C 為侵入性操作，若無醫囑不可隨意沖洗。B 會造成引流液回流至傷口，增加感染與組織受損風險。
The Jackson-Pratt (JP) drain is a negative-pressure drain. Measuring with a graduated cylinder is more accurate than estimating by sight. Option A reverses the proper sequence; the bulb must be compressed first and then the plug closed. Option D describes an invasive action that should not be performed without a specific order. Option B would cause drainage to flow back into the wound, increasing the risk of infection and tissue damage.
✦ 台美臨床差異
台美對於術後引流管護理重點一致，皆強調無菌技術與測量精確度。