A client has returned to the nursing unit after an open Nissen fundoplication.The client has an indwelling urinary catheter,a nasogastric (NG)tube to low continuous suction,and two IVs.The nurse notes bright red blood in the NG tube.What action should the nurse take first?

Question

Quizplus · Accepted Answer

The drainage in the NG tube should initially be brown with old blood.The presence of bright red blood indicates bleeding.The nurse should take a set of vital signs to assess for shock and then notify the surgeon.Documentation should occur but is not the first thing the nurse should do.The nurse should not wait an additional hour to reassess.

A Client Has Returned to the Nursing Unit After an Open