Question

The nurse begins to auscultate the client's lungs. While listening, the nurse notices fresh bloody drainage oozing from the abdominal dressing. The nurse stops auscultating and applies direct pressure to the wound site. This is an example of:

1. Performing a nursing assessment
2. Reorganizing the nursing diagnoses
3. Implementing nursing interventions
4. Critically analyzing client assessment data

Answer 1

The nurse applying direct pressure to the abdominal wound site after noticing fresh bloody drainage during auscultation is an example of implementing nursing interventions.

Step-by-step explanation:

The nurse applying direct pressure to the abdominal wound site after noticing fresh bloody drainage while auscultating the client's lungs is an example of implementing nursing interventions. In this situation, the nurse's priority is to address the immediate concern of the bleeding and ensure the client's safety and well-being. By applying direct pressure to the wound site, the nurse is taking immediate action to control the bleeding and prevent further complications.