— 基本照護與舒適 · MEDIUM · MCQ —
護理師照顧術後放置傑克森-普拉特（JP）引流管的病人，哪項行動正確？
A nurse is caring for a client who has returned from surgery with a Jackson-Pratt drain. Which action is appropriate for the nurse to perform?
- AStrip the tubing every 2 hours to clear clots每兩小時擠壓管路以清除血塊
- BEmpty the bulb when it is completely full當引流球完全充滿時排空
- CEnsure the device is compressed to maintain suction✓ 正解確保裝置處於壓縮狀態以維持抽吸力
- DIrrigate the drain with normal saline every shift每班次以生理食鹽水沖洗引流管
— Explanation · 中文詳解 —
JP 引流管利用負壓抽吸（vacuum）引流傷口分泌物。護理師需確保引流球處於壓縮狀態以維持負壓，若引流球膨脹則表示失去吸引力。不建議常規進行管路擠壓（stripping）以防過大負壓損害組織，亦應定期清空而非等滿才處理。
A JP drain uses negative-pressure suction (vacuum) to drain wound secretions. The nurse must ensure that the bulb remains in a compressed state to maintain negative pressure; if the bulb expands, it indicates loss of suction. Routine stripping of the tubing is not recommended, to avoid excessive negative pressure damaging tissue, and the bulb should be emptied at regular intervals rather than only when it is full.
✦ 台美臨床差異
美國護理師對引流管監測權限較大，台灣醫療環境中，管路照護通常嚴格遵守醫囑進行。