A patient who has undergone an open cholecystectomy 12 hours prior has a jackson-pratt (jp) drain. the nurse empties the drainage and notes bile-stained serosanguineous fluid. which nursing action is correct?
The answer would be: Document the finding in the clients chart
The drainage has bile-stained serosanguineous fluid which pretty normal for cholecystectomy surgeries. If the volume is not excessive, the nurse doesn't need to notify the provider. Documentation of the finding is a must because it could tell the provider about the condition of the patient.
