— 降低風險 · EASY · MCQ —
護理師照護一位使用 Jackson-Pratt 引流管的術後病人,下列哪項措施最能確保引流裝置運作正常?
A nurse is caring for a postoperative client with a Jackson-Pratt drain. Which action is most appropriate to ensure the device functions correctly?
- ACompress the bulb and secure the plug to establish suction✓ 正解擠壓引流球並固定塞子以建立吸力
- BIrrigate the drain every 4 hours to prevent clotting每 4 小時沖洗引流管以防止凝血
- CKeep the drain elevated above the insertion site將引流管置於高於插入部位的位置
- DPin the drain to the bed linen to prevent pulling將引流管別在床單上以防止拉扯
— Explanation · 中文詳解 —
Jackson-Pratt (JP) 引流管是一種密閉式負壓引流裝置,用於移除手術部位的滲液以促進傷口癒合。為了維持持續的負壓吸力,護理師必須在清空引流液後,先將球體擠壓扁平,隨後扣上塞子。當球體試圖恢復原狀時,會產生溫和的吸力將傷口滲液抽出。若未正確擠壓或塞子未密封,負壓將失效,導致滲液積聚於體內,增加感染風險。
To ensure proper function of a Jackson-Pratt drain, the nurse must compress the bulb to expel air and secure the plug, creating negative pressure for effective drainage. This suction helps remove fluid from the surgical site, promoting healing and reducing infection risk.