Practice Question
A PACU nurse is monitoring the drainage from a client's NG tube following abdominal surgery. Which of the following findings in the first postoperative hour should the nurse report to the provider?
Answer Choices:
Correct Answer:
100 mL of red drainage
Rationale:
♦ NG output should be green/yellow bile or small serosanguineous amounts early; red suggests active bleeding.
♦ 100 mL in 1 hr of frank red fluid is unexpected and warrants immediate provider notification.
♦ Post‑abdominal surgery, red NG drainage may indicate mucosal or anastomotic bleeding.
♦ Prompt recognition prevents hemodynamic instability and guides diagnostics/intervention.
♦ Document color/amount trends; this qualitative change is more critical than volume alone.
Want to practice more questions like this?
This question is from RN ADULT MEDICAL SURGICAL 2019 WITH NGN which contains 66 questions.
More Questions from This Exam
A nurse is planning care for a client who is 1 day postoperative following an open cholecystectomy. Which of the following interventions should the nurse include in the plan of care?
Answer Choices:
A. Place pillows under the client's knees.
B. Discourage leg exercises while in bed.
C. Apply compression stockings to the lower extremities
D. Avoid use of anticoagulants
A nurse is preparing to assist with the insertion of a non-tunneled central venous catheter for a client who is malnourished. Which of the following actions should the nurse plan to take?
Answer Choices:
A. Confirm the correct position of the line by obtaining a blood sample.
B. Instruct the client to cough as the catheter is inserted.
C. Place the head of the client's bed lower than the foot
D. Cleanse the site with a hydrogen peroxide solution
A nurse is caring for a client who arrives at the emergency department and reports vomiting and diarrhea for the past 3 days. The client's serum potassium level is 2.8 mEq/L. Which of the following interventions should the nurse implement first?
Answer Choices:
A. Listen to the client's bowel sounds.
B. Initiate cardiac monitoring for the client.
C. Check the client's hand grasps.
D. Administer an IV potassium drip.
A nurse is providing discharge teaching to a client following a modified left radical mastectomy with a breast expander. Which of the following statements by the client indicates an understanding of the teaching?
Answer Choices:
A. “will keep my left arm flexed at the elbow as much as possible"
B. “will have to wait 2 months before additional saline can be added to my breast expander"
C. “should expect less than 25 ml of secretions per day in the drainage devices."
D. “will perform strength-building arm exercises using a 15-pound weight."
A nurse is providing discharge teaching to a client following a modified left mastectomy. Which statements by the client indicate a understanding of the teaching?
Answer Choices:
A. "I will keep my left arm flexed at the elbow as much as possible."
B. "I will have to wait 2 months before additional saline can be added to my breast expander."
C. " I should expect less than 25 mL of secretions per day in the drainage devices."
D. "I will perform strength-building arm exercises using a 15-pound weight."
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: General Exams
- Domain: Medical-surgical📚
- Answer Choices: 4