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CEN Practice Exam (Certified Emergency Nurse)

Category - Eyes

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What nursing action would the nurse take when caring for a patient with enucleation with bright red drainage?

Notify the physician.
Continue to monitor the drainage.
Document the finding.
Mark the drainage on the dressing.

Explanation

Answer: A - The nurse’s first priority would be to notify the physician. The presence of bright red drainage on the dressing is an indication of hemorrhage. The other options are inappropriate for this patient.

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