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during the postoperative assessment, the nurse observes the client's surgical site. the left hip dressing has a moderate amount of sanguineous drainage. question 20 of 28 what action(s) should the nurse implement? (select all that apply. one, some, or all options may be correct.)

Respuesta :

Observe the linens under the hip and Mark the amount of drainage on the dressing.

Sanguineous drainage refers to the leakage of fresh blood produced by an open wound. This type of drainage is more commonly seen in wounds that extend beyond the superficial layers of the skin, such as deep wounds of full and partial thickness, which are typically associated with blood vessel damage.

Gravity pulls drainage down, so the nurse should inspect the area below the surgical site for additional drainage. The nurse may also mark the amount of drainage on the dressing for later comparison.

Marking the amount of drainage on the dressing will allow for later comparison.

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