— 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，下列哪項措施最能確保引流管功能正常？
A nurse is caring for a postoperative client with a Jackson-Pratt drain. Which action is most important to ensure the drain functions correctly?
- AEmpty the bulb only when it is completely full僅在引流球完全充滿時才排空
- BCompress the bulb and close the valve to establish suction✓ 正解壓縮引流球並關閉閥門以建立吸引
- CFlush the tubing with normal saline every 4 hours每四小時以生理食鹽水沖洗管路
- DEnsure the drain is pinned above the level of the surgical incision確保引流管固定於手術切口上方
— Explanation · 中文詳解 —
Jackson-Pratt 引流管利用負壓原理運作，必須在排空後重新壓縮引流球並關閉閥門，才能產生持續性負壓（suction）。若未正確壓縮，引流將停止，導致積液增加感染風險。其他選項會導致負壓喪失或增加逆行性感染風險。
Compressing the bulb and closing the valve creates the necessary negative pressure for effective drainage. Maintaining this suction is critical to prevent fluid accumulation and reduce the risk of infection at the surgical site.
✦ 台美臨床差異
美台臨床對於 JP drain 的照護流程一致，皆強調負壓維持與引流液監測，差別僅在於排空頻率與記錄表格格式。