The nurse observes that the Hemovac drain is full of sanguineous drainage. What action should the nurse implement first?
A. Compress the drain and re-establish suction.
B. Empty the drain and measure the amount of drainage.
C. Page the surgeon to report the finding.
D. Document the appearance of the drainage.
Final answer:
The nurse should compress the drain and re-establish suction first.
Explanation:
The correct action for the nurse to implement first when observing that the Hemovac drain is full of sanguineous drainage is A. Compress the drain and re-establish suction. This action helps to prevent the drain from becoming too full and causing discomfort or potential complications. The other options, such as emptying and measuring the drainage, paging the surgeon, or documenting the appearance of the drainage, can be done after the drain has been compressed and suction has been re-established.
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