Question

In the first 2.5 hours after a radical neck dissection, 40 ml of medium-red, bloody fluid is obtained from the client's drainage system. what should the nurse do? select all that apply.

Answer 1

The nurse should assess the patient vital sign and notify the healthcare provider. For 2.5 hour after neck dissection, production of 40ml by the drainage is a bit excessive. There might be a bleeding in the site of operation that becomes the source of the drainage. Change dressing will not do anything. Applying pressure can be done if the site of bleeding is known.