{"id":136978,"date":"2024-09-11T19:46:15","date_gmt":"2024-09-11T19:46:15","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=136978"},"modified":"2024-09-11T19:46:17","modified_gmt":"2024-09-11T19:46:17","slug":"when-monitoring-a-clients-abdominal-incision","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/11\/when-monitoring-a-clients-abdominal-incision\/","title":{"rendered":"When monitoring a client’s abdominal incision"},"content":{"rendered":"\n

When monitoring a client’s abdominal incision, the practical nurse (PN) observes a large amount of sanguineous drainage on the dressing. Which client data collection should the PN complete first?<\/p>\n\n\n\n

A.
Temperature.<\/p>\n\n\n\n

B.
Pain scale.<\/p>\n\n\n\n

C.
Bowel sounds.<\/p>\n\n\n\n

D.
Blood pressure.<\/p>\n\n\n\n

The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n

The correct answer is D. Blood pressure<\/strong>.<\/p>\n\n\n\n

When a large amount of sanguineous drainage<\/strong> (bloody drainage) is observed on a client’s abdominal incision, the primary concern is the potential for hemorrhage<\/strong>, which is a serious postoperative complication. Hemorrhage can lead to significant blood loss, causing hypovolemia<\/strong> and potentially leading to shock if not identified and treated quickly. Monitoring the client\u2019s vital signs<\/strong>, particularly blood pressure<\/strong>, is crucial to assess for signs of this condition.<\/p>\n\n\n\n

Blood pressure<\/strong> should be checked first because a drop in blood pressure<\/strong> can indicate that the client is losing a significant amount of blood. Hypotension, or low blood pressure, occurs when there isn\u2019t enough circulating blood volume to maintain adequate perfusion to the organs. Along with a tachycardic (increased heart rate)<\/strong> response, it is one of the earliest signs of compensatory mechanisms in the body trying to maintain homeostasis.<\/p>\n\n\n\n

Other client data, such as temperature<\/strong>, pain scale<\/strong>, and bowel sounds<\/strong>, while important for overall care, do not directly indicate or provide immediate information about the client’s hemodynamic status in this acute situation.<\/p>\n\n\n\n