Which postoperative observation must be reported to the physician immediately?
a. Brownish-red drainage on the dressing, which is damp
b. Respirations of 20 breaths/min
c. Pulse of 72 beats/min
d. Bright-red bleeding
D
Bright-red bleeding is not expected and indicates hemorrhage. Direct pressure should be applied over the dressing and the physician or charge nurse should be notified.
You might also like to view...
During a disaster, appropriate nursing actions include: Standard Text: Select all that apply
1. Work as directed by supervisor. 2. Check in with family frequently during the disaster. 3. Check in with multiple units to see if they need help. 4. Observe client confidentiality. 5. Refer all questions to the public information officer.
35 units
What will be an ideal response?
The parents of a boy diagnosed with Hirschsprung disease are anxious and fearful of the upcoming surgery. The mother states, "I'm worried about having to care for our son's ostomy." Which intervention would be most helpful for the parents?
A) Explaining to them about the diagnosis and surgery B) Having a wound, ostomy, and continence nurse meet with them C) Reinforcing that the ostomy will be temporary D) Teaching them about the medications used to slow stool output
A client with a history of atrial fibrillation has experienced a TIA. In an effort to reduce the risk of cerebrovascular accident (CVA), the nurse anticipates the medical treatment to include which of the following?
A) Cholesterol-lowering drugs B) Anticoagulant therapy C) Monthly prothrombin levels D) Carotid endarterectomy