The nurse is caring for several postoperative clients on the unit. Which client does the nurse assess first?
a. Client with 200 mL dark drainage from the nasogastric tube in an hour
b. Client who received oral pain medication 20 minutes ago
c. Client who has not yet ambulated after surgery 4 hours ago
d. Client requiring discharge teaching and whose family is present
A
200 mL of dark drainage from the nasogastric tube in an hour should be assessed and communi-cated to the physician because it may indicate a bleed. Oral pain medication needs more than 20 minutes to be effective, and the nurse should re-assess the client when the pain medication has had time to take effect. Four hours is probably too soon for a client to ambulate after an opera-tion. The nurse should include the family in discharge teaching, but the client with the nasogas-tric (NG) drainage needs to be seen first.
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