2024 PN NCLEX Questions Nursing Practice Question
Following a classic cholecystectomy resection for multiple stones, the PACU nurse observes serosanguinous drainage on the dressing. The most appropriate intervention is to:
Correct Answer: C
Rationale: Reinforcing the dressing is the most appropriate intervention in this situation. Serosanguinous drainage can be normal post-surgery, and reinforcing the dressing helps manage the drainage while providing support to the surgical site.
Notifying the physician (Option A) may be necessary if the drainage becomes excessive or changes significantly, but it is not the immediate action needed. Changing the dressing (Option B) could disrupt the healing process and is unnecessary at this stage. Applying an abdominal binder (Option D) may provide support but does not directly address the drainage issue and could be inappropriate if the drainage is significant.