The Nurse Is Caring for a Client Immediately After Surgery

question 17

Multiple Choice

The nurse is caring for a client immediately after surgery.During assessment the nurse notes sanguineous drainage on the client's dressing.Which action by the nurse is most correct?

• A)Notify the physician about the possibility of hemorrhage.
• B)Mark and initial the edges of the drainage, including the date and time.
• C)Reinforce the dressing and monitor for additional bleed through.
• D)Monitor vital signs for changes indicating excessive bleeding.

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