A postoperative patient is hemorrhaging at the surgical site. The surgeon has determined the need to return to the operating room immediately. How will the nurse classify this procedure?

Urgent

Major

Emergency

Elective

Answer and Explanation

The Correct Answer is C

Choice A reason: Urgent procedures are needed soon (e.g., within hours), like appendicitis, but not immediately. Hemorrhaging requires instant action to prevent life-threatening blood loss, making this classification less appropriate than emergency.

Choice B reason: Major refers to procedure complexity, not timing. Hemorrhaging demands immediate intervention regardless of complexity, as bleeding threatens life, making major an incorrect classification for the procedure’s urgency.

Choice C reason: Emergency procedures are required immediately to save life, as with active hemorrhaging. Rapid blood loss risks hypovolemic shock, necessitating urgent surgical return, correctly classifying this as an emergency procedure.

Choice D reason: Elective procedures are planned and non-urgent, like cosmetic surgery. Hemorrhaging is life-threatening, requiring immediate intervention, not a scheduled event, making elective an incorrect classification.

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Correct Answer is A

Explanation

Choice A reason: Serosanguineous drainage, a mix of serous fluid and blood, is expected 1 week post-abdominal surgery during the inflammatory and proliferative healing phases. It indicates normal wound healing, making this the correct interpretation.

Choice B reason: Infection typically causes purulent drainage (thick, yellow-green) with odor or fever, not serosanguineous drainage. The described drainage aligns with normal healing, making infection an incorrect assumption at this stage.

Choice C reason: Hemorrhage involves sanguineous drainage (bright red, heavy blood), not serosanguineous, which is lighter and mixed. The drainage described does not suggest active bleeding, making hemorrhage an incorrect interpretation.

Choice D reason: Serosanguineous drainage is normal and does not warrant immediate surgical intervention unless accompanied by signs like excessive bleeding or dehiscence. This drainage is expected, making surgical intervention unnecessary and incorrect.

A. Irrigate the NG tube with water that is connected to suction for a post-operative client B. Perform digital removal of stool on a client who is constipated C. Measure the amount of stool in the client’s colostomy bag D. Change the saturated central line dressing

Correct Answer is C

Explanation

Choice A reason: Irrigating an NG tube involves assessing patency and suction, which requires clinical judgment beyond UAP scope. This task involves potential complications (e.g., aspiration), making it inappropriate for delegation to unlicensed personnel.

Choice B reason: Performing digital removal of stool is a skilled procedure with risks (e.g., vagal stimulation, bleeding), requiring RN expertise. It is outside the UAP scope, as it involves invasive intervention and assessment, making it inappropriate for delegation.

Choice C reason: Measuring stool in a colostomy bag is a routine, non-invasive task within UAP scope, involving observation and reporting output. It requires no clinical judgment or sterile technique, making it the most appropriate task for delegation to unlicensed personnel.

Choice D reason: Changing a central line dressing requires sterile technique and assessment for infection, which are RN responsibilities. UAPs lack training for sterile procedures and complex site evaluation, making this task inappropriate for delegation.

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A postoperative patient is hemorrhaging at the surgical site. The surgeon has determined the need to return to the operating room immediately. How will the nurse classify this procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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