Section: NCLEX

11) The nurse cares for a 46-year-old woman after a traditional cholecystectomy. The patient has a nasogastric tube connected to suction, an IV of D5W infusing into her right arm, and a T-tube and Penrose drain in place. The nurse would be MOST concerned by which of the following findings?

1. The systolic blood pressure is 10 mmHg, lower than it was preoperatively.
2. There is 250 cc of bloody drainage from the T-tube during the first 24 hours.
3. There is 30 cc of serosanguineous drainage in the Penrose drain during the first 24 hours.
4. The patient experiences a 4° temperature elevation the evening after surgery.

You should expect drainage of 400 ml/day with a gradual decrease through time. It should be bloody initially and change to greenish-brown.