问题
单项选择题
During the evening shift on the day of the client’s surgery, the nurse notices that the nasogastric tube drains 500 mL of green-brown fluid. What should the nurse do()
A. Record the amount of drainage on the client’s chart.
B. Irrigate the tube with normal saline solution.
C. Call the physician immediately.
D. Increase the intravenous infusion rate.
答案
参考答案：A
解析：
Because peristalsis has not been reestablished, this amount of gastric drainage would be expected. The green-brown color would also be expected. The appropriate nursing action is to chart the amount and color of output and continue monitoring the client.