Question

10. Reassessment during the postoperative period of Simone’s surgical dressing reveals a moderate amount of sanguineous drainage and that the Hemovac drain is full of sanguineous drainage. Which action should the nurse implement first? a) Document the appearance of the drainage b) Empty the drain and measure the amount of drainage c) Compress the drain and re-establish suction d) Page the surgeon to report the finding

Please provide a rational

Answer 1

According to the given situation, nurse first implement action was to empty the drain and measure the amount of drainage.

Reason: At first a nurse should empty the drain and measure the drainage, after the completion of this process compress the drain to re establish suction. Later document the observed notifications and findings of the surgeon can then be done.

So the correct option was b

Other options are not applicable in this situation because

Option a. Another action should be taken before this documentation is done

Option c. This action should be performed after another action is taken.

Option d. Another action should be taken before notifying the surgeon.

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