NCLEX-RN · Question #325
A client returned to the unit following a pneumonectomy. As the nurse is assessing her incision, she notices fresh blood on the dressing. The nurse should first:
The correct answer is C. Notify the physician. (A) The dressing should not be reinforced without first notifying the physician. The decision may be made by the physician to reinforce the dressing after assessing the amount of bleeding. (B) Blood on the dressing is unusual and should make the nurse aware that something more…
Question
A client returned to the unit following a pneumonectomy. As the nurse is assessing her incision, she notices fresh blood on the dressing. The nurse should first:
Options
- AReinforce the dressing.
- BContinue to monitor the dressing.
- CNotify the physician.
- DNote the time and amount of blood.
How the community answered
(37 responses)- A3% (1)
- B11% (4)
- C81% (30)
- D5% (2)
Explanation
(A) The dressing should not be reinforced without first notifying the physician. The decision may be made by the physician to reinforce the dressing after assessing the amount of bleeding. (B) Blood on the dressing is unusual and should make the nurse aware that something more than continuing to monitor the dressing should be done. (C) The physician should be notified immediately, because if the bleeding persists, the client may have to be taken back to surgery. (D) The time and amount of blood do need to be recorded after the physician is notified.
Topics
Community Discussion
No community discussion yet for this question.