A nurse is caring for a patient who is 1 day postoperative following a cholecystectomy. The nurse suspects the patient's wound is infected because the drainage from the dressing is yellow and thick. Which of the following findings should the nurse report as the type of drainage found?
Serosanguineous
Serous
Purulent
Sanguineous
The Correct Answer is C
Choice A reason: Serosanguineous drainage is a mixture of blood and clear fluid, not typically yellow and thick.
Choice B reason: Serous drainage is clear and watery, not yellow and thick.
Choice C reason: Purulent drainage is typically yellow and thick, indicating the presence of pus, which can be a sign of infection.
Choice D reason: Sanguineous drainage is fresh bleeding, bright red in color, not yellow and thick.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Advance directives are instructions given by the patient for future care, not for giving consent for current procedures.
Choice B reason: A durable power of atorney for healthcare allows an individual to make medical decisions on behalf of the patient if they are unable to do so themselves.
Choice C reason: Being the primary caregiver does not automatically grant the legal authority to give consent for medical procedures.
Choice D reason: The nurse's role is to facilitate the consent process, not to give consent on behalf of the patient.
Correct Answer is D
Explanation
Choice A reason: While voluntary agreement is essential, understanding the procedure is the core of informed consent.
Choice B reason: Clarity is important, but it is not the sole requirement; the patient's understanding is crucial.
Choice C reason: Documentation is part of the process, but it does not replace the need for the patient's understanding.
Choice D reason: For informed consent to be valid, the patient must understand the nature and risks of the surgical procedure, which is the most critical aspect.
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