Of the following nursing assessments,which should be reported to the primary care provider immediately by the nurse?
A)Bloody drainage from a patient with a hemothorax
B)Subcutaneous emphysema is noted on assessment.
C)Bubbling in the water seal stops on a patient with a pneumothorax.
D)Over 300 mL of drainage has been collected in the system in the past hour.

Question

Quizplus · Accepted Answer

Drainage exceeding 100 mL/hr should be reported immediately because this would be considered abnormal.Drainage would be expected to be bloody if the patient has a hemothorax.Cessation of bubbling in the water seal indicates that the air has been evacuated in the patient with a pneumothorax.Although the finding of subcutaneous emphysema should be reported,documented,and monitored,it is not an emergency.

Of the Following Nursing Assessments,which Should Be Reported to the Primary