{"id":136498,"date":"2024-09-10T19:18:16","date_gmt":"2024-09-10T19:18:16","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=136498"},"modified":"2024-09-10T19:18:17","modified_gmt":"2024-09-10T19:18:17","slug":"a-nurse-is-assessing-a-clients-incision-and-observes-the-drainage-to-be-blood-tinged","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/10\/a-nurse-is-assessing-a-clients-incision-and-observes-the-drainage-to-be-blood-tinged\/","title":{"rendered":"A nurse is assessing a client&#8217;s incision and observes the drainage to be blood-tinged"},"content":{"rendered":"\n<p>A nurse is assessing a client&#8217;s incision and observes the drainage to be blood-tinged. The nurse should document this finding as which of the following?<\/p>\n\n\n\n<p>A.<br>Purulent<\/p>\n\n\n\n<p>B.<br>Serous<\/p>\n\n\n\n<p>C.<br>Sanguineous<\/p>\n\n\n\n<p>D.<br>Hyperemia<\/p>\n\n\n\n<p><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-ast-global-color-6-color\"><strong>The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n<p>The correct answer is:<\/p>\n\n\n\n<p><strong>C. Sanguineous<\/strong><\/p>\n\n\n\n<p><strong>Explanation:<\/strong><\/p>\n\n\n\n<p>When assessing a client&#8217;s incision and observing that the drainage is blood-tinged, the nurse should document this finding as <strong>sanguineous<\/strong>.<\/p>\n\n\n\n<p><strong>Sanguineous<\/strong> drainage is characterized by its red color and consists primarily of red blood cells. It typically indicates that there is fresh blood in the wound drainage, which is common immediately after surgery or trauma. This type of drainage is often seen in the initial stages of wound healing and can be an expected finding in the early postoperative period. It can indicate that the incision site is still undergoing active bleeding or that there was a significant vascular injury during the procedure.<\/p>\n\n\n\n<p>Let&#8217;s briefly review the other terms to clarify why they are not correct in this context:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Purulent<\/strong> drainage is characterized by a thick, yellow, green, or brown appearance and is typically associated with infection. It contains pus, which is a result of the body&#8217;s immune response to bacteria or other pathogens. Purulent drainage would suggest the presence of an infection rather than simply blood-tinged fluid.<\/li>\n\n\n\n<li><strong>Serous<\/strong> drainage is clear or pale yellow and has a watery consistency. It is typically seen in the later stages of wound healing and indicates the presence of serum, which is the liquid part of the blood that leaks out when the wound is healing. This type of drainage is not associated with the presence of blood.<\/li>\n\n\n\n<li><strong>Hyperemia<\/strong> refers to increased blood flow to a specific area, causing redness and warmth. It is a physiological response to inflammation or infection but does not describe the type of drainage.<\/li>\n<\/ul>\n\n\n\n<p>In summary, <strong>sanguineous<\/strong> accurately describes drainage that is blood-tinged and is the appropriate term to use when documenting this type of wound output.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A nurse is assessing a client&#8217;s incision and observes the drainage to be blood-tinged. The nurse should document this finding as which of the following? A.Purulent B.Serous C.Sanguineous D.Hyperemia The correct answer and Explanation is : The correct answer is: C. Sanguineous Explanation: When assessing a client&#8217;s incision and observing that the drainage is blood-tinged, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-136498","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/136498","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=136498"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/136498\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=136498"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=136498"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=136498"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}