The recovery room nurse has just received a client whose abdominal drain has an excessive amount of sanguineous drainage. The nurse contacts the physician without delay, recognizing that this could:
1. Require the client to return immediately to surgery.
2. Be a potential respiratory crisis.
3. Lead to a major wound infection.
4. Need further assessment.
Require the client to return immediately to surgery.
Rationale: An excessive amount of sanguineous drainage in the abdominal drain may require the client to return to surgery to explore the surgical site. While the nurse is waiting for the surgical arrangements to be made, the client's hemodynamic status may need to be supported. The symptoms related to the drainage are not related to respiratory complications.
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