Basic Care and Comfort NCLEX PN Questions Nursing Practice Question
Following a classic cholecystectomy resection for multiple stones, the PACU nurse observes a serosanguious drainage on the dressing. The most appropriate intervention is to:
Correct Answer: C
Rationale: In this scenario, reinforcing the dressing is the most appropriate intervention. This action helps manage the serosanguineous drainage while providing additional support to the surgical site, which is critical after a cholecystectomy.
Notifying the physician (Option A) may be necessary if the drainage increases or shows signs of infection, but it is not the immediate priority. Changing the dressing (Option B) could disrupt the healing process and expose the wound unnecessarily. Applying an abdominal binder (Option D) may not directly address the drainage issue and could potentially add pressure to an already sensitive area.