Medical-Surgical Nursing:Assessment and Managementof Clinical Problems 9th Edition by Sharon Lewis,Shannon Ruff Dirksen,Margaret McLean Heitkemper,Linda Bucher

Exercise 27

Priority Decision: The nurse notes drainage on the surgical dressing when the patient is transferred from the PACU to the clinical unit.In what order of priority should the nurse do the following actions? Number the options with 1 for the first action and 5 for the last action.
a. Reinforce the surgical dressing.
_______
b. Change the dressing and assess the wound as ordered.
_______
c. Notify the surgeon of excessive drainage type and amount.
_______
d. Recall the report from PACU for the number and type of drains in use.
_______
e. Note and record the type, amount, and color and odor of the drainage.