Which action should the pn implement


Problem

At 4 hours postoperatively, the practical nurse inspects the surgical wound dressing of a client who had a right total knee replacement and observes it is saturated with serosanguineous drainage. The hemovac drainage unit is empty is not compresed, and the stopper is open to air. After taking the clientsvital signs. Which action should the PN implement? The answers are reposition the client leg and drainage tube orcompress the hemovac unit and replace it stopper ordolcument the damage in the medical record or report the Hemovac has not been fuctioninh.

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