A nurse caring for a post-operative client observes the drainage ...

[bobbie]

A nurse caring for a post-operative client observes the drainage in the client's closed wound drainage system. The drainage is thin with a pale pink-yellow color. The nurse documents the drainage as which of the following?
 
  A) Serous
  B) Sanguineous
  C) Serosanguineous
  D) Purulent

Question 2

An older adult client has edema of the right lower extremity with redness and clear drainage. This is most likely related to what?
 
  A) Beta-hemolytic streptococcus
  B) Age
  C) Venous insufficiency
  D) Hemangioma

[kaylee05]

Answer to Question 1

Ans: C
The nurse should document the drainage as serosanguineous, which is pale pink-yellow, thin, and contains plasma and red cells. Serous drainage is pale yellow and watery, like the fluid from a blister. Sanguineous drainage is bloody, as from an acute laceration. Purulent drainage contains white cells and microorganisms and occurs when infection is present. It is thick and opaque and can vary from pale yellow to green or tan, depending on the offending organism.

Answer to Question 2

Ans: C
Leg and foot ulcers occur from various causes, but the most common are ulcers secondary to venous insufficiency, arterial insufficiency, and neuropathy.