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1. Question
The nurse inspects the color of the drainage from a nasogastric tube on a postoperative client approximately 24 hours after gastric surgery. Which finding indicates the need to notify the health care provider (HCP)?
Correct
Answer: Option 1 is the correct answer.
Rationale: For the first 12 hours after gastric surgery, the nasogastric tube drainage may be dark brown to dark red. Later, the drainage should change to a light yellowish-brown color. The presence of bile may cause a green tinge. The HCP should be notified if dark red drainage, a sign of hemorrhage, is noted 24 hours postoperatively. Test-Taking Strategy: Focus on the subject, the need to notify the HCP. Recall that bleeding is a concern in the postoperative client. This concept will direct you to the correct option.
Incorrect
Answer: Option 1 is the correct answer.
Rationale: For the first 12 hours after gastric surgery, the nasogastric tube drainage may be dark brown to dark red. Later, the drainage should change to a light yellowish-brown color. The presence of bile may cause a green tinge. The HCP should be notified if dark red drainage, a sign of hemorrhage, is noted 24 hours postoperatively. Test-Taking Strategy: Focus on the subject, the need to notify the HCP. Recall that bleeding is a concern in the postoperative client. This concept will direct you to the correct option.
Postoperative Nursing care:
The patient’s recovery from the anesthesia is monitored in the PACU. His ongoing recovery is managed on either an intensive care unit (ICU) or medical-surgical unit. The postoperative period extends from the time the patient leaves the operating room until the last follow-up visit with the surgeon.
What the PACU nurse does?
The postoperative period begins when the patient arrives in the PACU, accompanied by the anesthesiologist or nurse- anesthetist. The PACU nurse’s main goal is to meet the patient’s physical and emotional needs, thereby minimizing the development of postoperative complications. Such factors as pain, lack of oxygen, and sudden movement may threaten his physiologic equilibrium.
Thanks to the use of short-acting anesthetics, the average PACU stay lasts less than 1 hour. The patient is assessed every 10 to 15 minutes initially and then as his condition warrants.
