NCLEX Question of the Day
Physiological Adaptation QID 1105
The nurse is caring for a client who is 2 days postoperative following a coronary artery bypass graft (CABG). Which of the following findings should be reported to the physician?
Explanation
Chest tube drainage of 400 mL in one hour is excessive and could indicate postoperative bleeding. This finding should be reported to the physician immediately for further evaluation and intervention.
A low-grade fever is common after major surgery and does not necessarily indicate a problem if the client is otherwise stable. A blood pressure of 110/70 mmHg is within the normal range. Mild to moderate incision pain is expected 2 days after a CABG and can usually be managed with prescribed analgesics.
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