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    ATI ns 550 Fundamentals proctored Exam

    A nurse is assessing a client’s wound dressing and observes a watery red drainage. The nurse should document this drainage as which of the following?

    Explanation & Rationale

    Choice A reason: Sanguineous drainage is bright red and consists primarily of blood, indicating active bleeding. Watery red drainage suggests a mix of blood and serous fluid, not pure blood, making this choice incorrect for the described wound drainage. Choice B reason: Serous drainage is clear or slightly yellow, watery fluid without blood. The presence of red in the described watery drainage indicates a combination with blood, ruling out pure serous drainage, making this choice incorrect for the observed characteristics. Choice C reason: Serosanguineous drainage is watery, pink to light red, combining serous fluid and blood. This matches the described watery red drainage, typical in healing wounds with minor bleeding, making it the correct documentation term for the nurse to use. Choice D reason: Purulent drainage is thick, opaque, and often yellow, green, or white, indicating infection. Watery red drainage does not fit this description, as it lacks the viscosity and color of pus, making this an incorrect choice for the wound’s drainage.

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