A nurse notes an increase in serosanguineous drainage from a patient's incision. The most appropriate action for the nurse to take is to

1. Notify the physician of increasing amounts of clear drainage.
2. Draw a circle around the drainage and write the date, time, and initials on the dressing.
3. Change the dressing to decrease the patient's risk for infection.
4. Immediately call the laboratory and order a white blood cell (WBC) count.


ANS: 2

Nursing

You might also like to view...

After the loss and burial of a beloved pet, an older man loses weight because he eats very little. Three months later, he starts to paint pictures of the pet and his appetite slowly improves. De-scribe this individual's mourning for his pet

a. Weight loss from inadequate intake b. Pet's burial and painting pictures of the pet c. Loss of his appetite resulting in weight loss d. Increased food intake after painting begins

Nursing

During the active phase of labor, the fetal heart rate of a low-risk client should be as-sessed every:

a. 15 minutes. b. 30 minutes. c. 45 minutes. d. 1 hour.

Nursing

The nurse is caring for a patient diagnosed with uncontrolled asthma. The nurse implements interventions to help control the effects of asthma on which element of the patient's pulmonary gas exchange?

1. Removal 2. Diffusion 3. Ventilation 4. Perfusion

Nursing

Which of the following is an advantage of observational methods of data collection?

a. Data are free from distortions or biases. b. Inferences are based on attitudes and values of the observer. c. Subjectivity of researcher's observations adds credibility. d. These directly capture a record of events and behaviors.

Nursing