A patient returns to the unit after a neck dissection. The surgeon placed a Jackson Pratt drain in the wound. When assessing the wound drainage over the first 24 postoperative hours the nurse would notify the physician immediately for what?
A) Presence of small blood clots in the drainage
B) 60 mL of milky or cloudy drainage
C) Spots of drainage on the dressings surrounding the drain
D) 120 mL of serosanguinous drainage
Ans: B
Feedback:
Between 80 and 120 mL of serosanguineous secretions may drain over the first 24 hours. Milky drainage is indicative of a chyle fistula, which requires prompt treatment.
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