A 59-Year-Old Woman Is Scheduled for an Open Approach Coronary

A 59-year-old woman is scheduled for an open approach coronary artery bypass graft.During the preoperative interview and assessment,the perioperative nurse reviewed the patient's hematologic tests,including a detailed coagulation profile to uncover possible hemorrhagic disorders.During the assessment,the nurse learned of the patient's many varied comorbid conditions,including prior vascular procedures,and diabetes.The nurse noted one of the patient's many nursing diagnoses as risk for bleeding related to surgical incision(s) ,tissue dissection,and altered coagulation function.Because of this diagnosis,the nurse implemented measures to have blood available,measure and report blood loss,assist with the use of the autotransfusion system per protocol,and have topical hemostatic agents available.The patient will be free from excessive bleeding as evidenced by:

A) chest tube drainage less than 100 mL/hr.
B) dressings dry and intact.
C) presence of palpable radial and femoral pulses.
D) normal skin color, temperature, and turgor.