RN Comprehensive Predictor 2026 Proctored Exam V2
A nurse is caring for a client who is 6 hr postoperative following a modified radical mastectomy. The client has a portable wound bulb suction device in place. Which of the following actions should the nurse take?
Explanation & Rationale
A portable wound bulb suction device (e.g., Jackson-Pratt drain) must maintain constant gentle suction to prevent fluid accumulation at the surgical site and reduce seroma formation. The client should be positioned with the head of the bed elevated, not supine, to reduce edema and promote drainage. Drainage tubes are typically removed when output is less than 30 mL in 24 hr, not at 24 hr post-procedure. 25 mL of drainage in 24 hr is within acceptable range and does not require provider notification.
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