The critical care nurse is monitoring her patient's urine output and drainage from tubes inserted intraoperatively. What would the nurse promptly report to the physician?
A) Increased pain on movement
B) Absent drainage
C) Increased urine output
D) Blood-tinged serosanguineous drainage
Ans: B
Feedback: Urine output and drainage from tubes inserted during surgery are monitored for amount, color, and type or characteristics. Decreased or absent drainage is promptly reported to the physician because it may indicate obstruction that could cause pain, infection, and disruption of the suture lines. Reporting increased pain on movement has nothing to do with the scenario prescribed. Increased urine output is expected so you wouldn't report it to the physician in a prompt fashion. Serosanguineous drainage is to be expected.
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