A PACU nurse is monitoring the drainage from a client's NG tube following abdominal surgery. Which of the following findings in the first postoperative hour should the nurse report to the provider?
200 mL of brown drainage
100 mL of red drainage
150 mL of serosanguineous drainage
75 mL of greenish-yellow drainage
The Correct Answer is B
B. Red drainage from an NG tube can indicate fresh bleeding. While some blood in the immediate postoperative period may be expected, 100 mL is a significant amount for the first hour.
A Brown drainage from an NG tube in the immediate postoperative period can indicate the presence of old blood or bile. It is within a reasonable amount for the first hour postoperatively
C. Serosanguineous drainage is a mix of serum and blood, which can be normal in the early postoperative period.
D. Greenish-yellow drainage from an NG tube can indicate the presence of bile, which is also within the range of expected findings postoperatively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["100"]
Explanation
IV pump rate= (Volume to be infused (mL) × 60) / Time of infusion (min).
For the given scenario, the nurse has 50 mL to infuse over 30 minutes. Using the formula, Pump rate= (50 mL × 60) / 30 min= 100 mL/hr.
Therefore, the nurse should set the IV pump to deliver 100 mL/hr.
Correct Answer is C
Explanation
C. This statement highlights difficulty with a specific ADL (grooming) that OT can assess and intervene to improve independence and quality of life.
A Difficulty swallowing, preference for a wheelchair over a walker, and problems with bladder control may also require medical attention, but they are not directly related to the occupational therapy's primary focus on improving the patient's ability to perform daily activities
B. This statement suggests mobility issues and possibly difficulty with walking due to muscle weakness. While mobility aids such as wheelchairs and walkers are typically addressed by physical therapists, OT can also be involved in evaluating the client's preferences, abilities, and functional mobility needs.
D. While OT primarily focuses on ADLs and functional tasks, bladder control problems typically require evaluation and management by a urologist or specialist in urology.
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