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A PACU nurse is monitoring the drainage from a client's NG tube following abdominal surgery. Which of the following findings in the first postoperative hour should the nurse report to the provider?A. 75 mL of greenish-yellow drainageB. 150 mL of serosanguineous drainageC. 100 mL of red drainageD. 200 mL of brown drainage

Question

A PACU nurse is monitoring the drainage from a client's NG tube following abdominal surgery. Which of the following findings in the first postoperative hour should the nurse report to the provider?A. 75 mL of greenish-yellow drainageB. 150 mL of serosanguineous drainageC. 100 mL of red drainageD. 200 mL of brown drainage

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Solution

The nurse should report to the provider if they find 100 mL of red drainage (Option C). This could indicate active bleeding in the gastrointestinal tract, which is a serious complication. The other options (A, B, and D) represent normal findings for a patient with a nasogastric (NG) tube following abdominal surgery. Greenish-yellow drainage is typically stomach bile, serosanguineous drainage is a mix of blood and serum which is common after surgery, and brown drainage could be old blood or digested material. However, bright red blood suggests fresh bleeding, which needs immediate medical attention.

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