A client in the postanesthesia care unit is to have suction applied through a nasogastric tube. When documenting, the nurse should include which information?
1. The time suction was started
2. Characteristics of wound drainage
3. Pressure on the suction
4. Integrity of the surgical dressing
5. Color and consistency of drainage
Correct Answer: 1, 3, 5
Rationale 1: For the nasogastric tube placed to suction, the nurse should document the time suction was started.
Rationale 2: The characteristics of the wound drainage are not related to the nasogastric tube suction.
Rationale 3: For the nasogastric tube placed to suction, the nurse should document the pressure on the suction.
Rationale 4: The integrity of the surgical dressing is not related to the nasogastric tube suction.
Rationale 5: For the nasogastric tube placed to suction, the nurse should document the color and consistency of the drainage.
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