A nurse caring for a post-operative client observes the drainage in the client's closed wound drainage system. The drainage is dark red in color. The nurse documents the drainage as which of the following?
Serosanguineous
Sanguinous
Purulent
Serous
The Correct Answer is B
The correct answer is B. Sanguinous. Sanguinous drainage is bright red, indicating fresh bleeding, and may be seen in the first few hours after surgery. Dark red drainage may indicate that there is an increase in bleeding, and the nurse should notify the provider immediately. Serosanguineous drainage is pink in color and consists of both blood and serum. Purulent drainage is thick, yellow or green in color and consists of pus, indicating an infection. Serous drainage is clear or light yellow in color and contains serum without red blood cells.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.2"]
Explanation
Each mL contains 5,000,000 units. Therefore, to administer 1,000,000 units, we need:
1,000,000 units / 5,000,000 units/mL = 0.2 mL
So, the nurse will give 0.2 mL of reconstituted penicillin G to the client.
Correct Answer is C
Explanation
Answer and Explanation
The correct answer is choice C, Read back the order to the physician.
After obtaining the physician's order over the phone, the nurse should read back the order to the physician to confirm accuracy and prevent medication errors.
This process ensures that the order is correctly transcribed and the right medication, dose, and route are given to the patient. Calling the pharmacy to check medication availability is not the nurse's responsibility, and initiating the prescription and administering the medication is inappropriate without confirming the order with the physician. Drawing up the medication into an appropriately labeled syringe before confirming the order with the physician is also inappropriate and can lead to medication errors. Therefore, reading back the order to the physician is the most appropriate action for the nurse to take.
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