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breyia1006 breyia1006
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6 years ago
The nurse is monitoring for bleeding in a child following surgery for removal of a brain tumor. The nurse checks the head dressing and notes the presence of dried blood on the back of the dressing.
 
  The child is alert and oriented, and the vital signs and neurological signs are stable. Which of the following nursing actions would be most appropriate initially? 1. Change the dressing.
  2. Document the findings.
  3. Recheck the dressing in 1 hour.
  4. Check the operative record to determine whether a drain is in place.
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madisons0212madisons0212
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