ATI PN Custom Fundamentals CH 38 Liz
ATI PN Custom Fundamentals CH 38 Liz ( 53 Questions)
Which is the appropriate action for you to take at this time?
Leaving the reservoir until the end of the shift could lead to overfilling and ineffective drainage.
Removing the drain is not within the nurse’s scope of practice and could lead to complications.
Emptying the reservoir ensures effective drainage and allows for accurate measurement of output.
Notifying the surgeon about the blood loss may be necessary if the amount is significant, but it is not the immediate action.
Choice A rationale:
Leaving the reservoir until the end of the shift could lead to overfilling and ineffective drainage.
Choice B rationale:
Removing the drain is not within the nurse’s scope of practice and could lead to complications.
Choice C rationale:
Emptying the reservoir ensures effective drainage and allows for accurate measurement of output.
Choice D rationale:
Notifying the surgeon about the blood loss may be necessary if the amount is significant, but it is not the immediate action.