NCLEX PN Practice Questions Practice Question
Following a cholecystectomy, drainage from the client's T tube for the first 24 hours after the operation was 350 cc. What is the appropriate nursing action?
Correct Answer: D
Rationale: After a cholecystectomy, a T tube is used to drain bile, and a drainage of 350 cc in the first 24 hours is generally considered within normal limits. Continuing to observe and measure drainage allows for monitoring of any changes that may indicate complications.
Notifying the physician (A) may be premature unless the drainage significantly exceeds normal limits or shows signs of infection. Raising the drainage bag (B) is counterproductive, as it could lead to increased pressure and potential complications. Increasing the IV flow rate (C) is unnecessary unless the patient shows signs of dehydration or fluid imbalance, which is not indicated by the current drainage level.
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