The nurse is caring for a patient with cancer of the liver. The patient has a percutaneous biliary drainage system. What assessments should the nurse record in the patient's chart?
A) Amount and color of drainage
B) Temperature of drainage
C) Odor of drainage
D) Consistency of drainage
Ans: A
Feedback: The percutaneous biliary system is open to external drainage. The bile is observed closely for the amount, color, and presence of blood and debris. The nurse would not record the temperature, odor, and consistency of the drainage.
You might also like to view...
Which of the following actions would help decrease the total health care costs in the United States?
a. Consolidate major health care facilities while expanding neighborhood primary care clinics b. Continue the move to computer-based medical records and other efficiencies in informatics c. Decrease current fraud and abuse d. Streamline and make more consistent all documents needed for third-party reimbursement
The hospice nurse clarifies that hospice service is initiated when what type of treatment is no longer effective?
a. Proactive b. Palliative c. Alternative d. Curative
A client receiving long-term therapy with lithium carbonate (Lithobid) exhibits muscle tremors, confusion, vomiting, and diarrhea. The nurse anticipates that the results of the latest test of the serum lithium level will be between:
1. 0 and 0.5 mEq/L 2. 0.6 and 1.0 mEq/L 3. 1.0 and 1.3 mEq/L 4. 1.5 and 2.0 mEq/L
An erosion of the mucosal layer of the stomach or duodenum describes a
1. diverticulum. 2. Crohn's lesion. 3. hiatal hernia. 4. Peptic ulcer.