NCLEX RN Practice Question # 381
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1. Question
The nurse is assessing a client 24 hours following a cholecystectomy. The nurse notes that the Ttube has drained 750 mL of green-brown drainage since the surgery. Which nursing intervention is appropriate?
CorrectAnswer & Rationale.
Option 4 is correct
Rationale: Following cholecystectomy, drainage from the T-tube is initially bloody and then turns to a greenish-brown color. The drainage is measured as output. The amount of expected drainage will range from 500 to 1000 mL/day. The nurse would document the output.
Test-Taking Strategy: Use the process of elimination. Options 1 and 2 can be eliminated because a T-tube is not irrigated and would not be clamped with this amount of drainage. From the remaining options, you must know normal expected findings following this surgical procedure. Review postoperative assessment findings following cholecystectomy if you had difficulty with this question.
IncorrectAnswer & Rationale.
Option 4 is correct
Rationale: Following cholecystectomy, drainage from the T-tube is initially bloody and then turns to a greenish-brown color. The drainage is measured as output. The amount of expected drainage will range from 500 to 1000 mL/day. The nurse would document the output.
Test-Taking Strategy: Use the process of elimination. Options 1 and 2 can be eliminated because a T-tube is not irrigated and would not be clamped with this amount of drainage. From the remaining options, you must know normal expected findings following this surgical procedure. Review postoperative assessment findings following cholecystectomy if you had difficulty with this question.
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