Practice Question
A nurse is caring for a school-age child following the removal of a brain tumor. Colorless drainage is noted on the surgical dressing. Which is the priority action by the nurse?
Answer Choices:
Correct Answer:
Notify the surgeon
Rationale:
🔶 Colorless (clear) drainage from a surgical site after brain tumor removal suggests cerebrospinal fluid (CSF) leakage, which is a medical emergency.
🔶 CSF leaks increase the risk for meningitis, intracranial infection, and impaired healing.
🔶 The nurse should not only document or monitor, as this delays urgent intervention.
🔶 Reinforcing the dressing may temporarily cover the leak but does not address the life-threatening risk.
🔶 Prompt notification of the surgeon ensures immediate evaluation and intervention to protect the child from complications.
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This question is from Custom: NSG2530_Exam3_Summer25_Wednesday which contains 60 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN Custom Exam(s)
- Answer Choices: 4