While assessing the client at the beginning of the shift, the nurse inspects a surgical dressing covering the operative site after the clients’ cervical discectomy. the nurse notes that the drainage is 75% saturated with serosanguineous discharge. what is the nurse’s most appropriate action?
Answer:
The nurse’s most appropriate action is to report the observed drainage to the healthcare provider and document the findings, as 75% saturation with serosanguineous discharge may indicate a potential complication or infection at the operative site.
The most appropriate action for the nurse to take if the surgical dressing is 75% saturated with serosanguineous discharge would be to reinforce the dressing and notify the surgeon of the findings. After a surgical procedure like cervical discectomy, it is common to monitor the surgical site for any signs of infection, excessive bleeding, or other complications.
If the surgical dressing is saturated with discharge, this could be an indication of a problem. By reinforcing the dressing, the nurse can help to prevent further discharge and keep the surgical site clean and protected. Additionally, by notifying the surgeon of the findings, the nurse can ensure that the surgeon is aware of any potential issues and can take appropriate action if necessary. This can help to prevent complications and improve the client’s overall outcome.
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