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Your patient is post-op day 3 from a cholecystectomy due to cholecystitis and has a T-Tube. Which finding during your assessment of the T-Tube requires immediate nursing intervention?* A. The drainage from the T-Tube is yellowish/green in color. B. There is approximately 750 cc of drainage within the past 24 hours. C. The drainage bag and tubing is at the patient's waist. D. The patient is in the Semi-Fowler's position.

Question

Your patient is post-op day 3 from a cholecystectomy due to cholecystitis and has a T-Tube. Which finding during your assessment of the T-Tube requires immediate nursing intervention?* A. The drainage from the T-Tube is yellowish/green in color. B. There is approximately 750 cc of drainage within the past 24 hours. C. The drainage bag and tubing is at the patient's waist. D. The patient is in the Semi-Fowler's position.

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Solution

The answer is B. There is approximately 750 cc of drainage within the past 24 hours. This is a significant amount of drainage and could indicate a problem such as a bile leak. Normal drainage from a T-tube is usually between 200-400 cc in the first 24 hours after surgery, and then decreases to about 25-50 cc per day. Therefore, 750 cc of drainage in 24 hours is abnormal and requires immediate nursing intervention. The other options (A, C, and D) are normal findings and do not require immediate intervention.

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