A client in the post-anesthesia care unit is to have suction applied through a nasogastric tube. When documenting, the nurse should include:

Question

1. The time suction was started.
2. Characteristics of wound drainage.
3. Pressure on the suction.
4. Integrity of the surgical dressing.
5. Color and consistency of drainage.

Answer 1

Correct Answer: 1,3,5
Rationale 1: For the nasogastric tube placed to suction, the nurse should document the time suction was started.
Rationale 2: The characteristics of the wound drainage are not related to the nasogastric tube suction.
Rationale 3: For the nasogastric tube placed to suction, the nurse should document the pressure on the suction.
Rationale 4: The integrity of the surgical dressing is not related to the nasogastric tube suction.
Rationale 5: For the nasogastric tube placed to suction, the nurse should document the color and consistency of the drainage.