MrChester Returns from Post-Anaesthesia Recovery Room Following an Abdominal Aneurism

question 4

Multiple Choice

Mr.Chester returns from post-anaesthesia recovery room following an abdominal aneurism repair.He has a midline incision with a hemovac drain in place.What should the nurse do first after emptying the drain for 80 mL of sanguineous drainage?

• A)Hand hygiene
• B)Report output to the physician
• C)Document output on health record
• D)Cleanse opening with alcohol,close opening

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Definitions:

Lindane-Based Shampoo

A medicated shampoo containing lindane, used to treat lice and scabies by killing the parasites; its use is restricted due to potential side effects.

Gloves

Hand coverings designed to protect the wearer from environmental hazards, keep hands clean, or prevent the spread of germs.

Tissue Ischemia

Point at which tissues receive insufficient oxygen and perfusion.

Skin Integrity

The condition of the skin being whole, undamaged, and intact, protecting the internal organs and tissues.