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The nurse notes upon the patient’s return to the surgical unit postoperatively that the surgical dressing covering the Penrose drain is dry and intact. Two hours later, the patient reports pain of 5 on a scale of 0 to 10 at the incisional site. The nurse checks the dressing and finds a 1 × 1 inch area of serosanguineous drainage on the dressing. What action should the nurse take? (Select all that apply.)

The nurse recognizes that the patient is at increased risk of infection due to the inability to replace which of these types of immunoglobulins?

The nurse should stay at the bedside with a patient for the first ____________________ minutes of any blood transfusion to detect signs of a reaction.

What type of cell involved in cell-mediated immunity has a cytotoxic action on tumor cells?

The recommended dose of filgrastim (Neupogen) is 10 mcg/kg/day. It is supplied as 300 mcg/mL. A patient who weighs 132 lb should receive ____________________ mL.

The nurse is caring for a postoperative patient who 30 minutes prior to transfer from the perianesthesia unit (PACU) received an intravenous analgesic. Pain medication orders are for morphine 10 mg IM every 3 hours PRN. An hour after arrival on the nursing unit, the patient reports pain of 8 on a 0 to 10 pain scale. What action should the nurse take?

What type of solution is used to replace electrolytes and expand plasma volume?

The nurse should stay with a patient for the first ____________________ minutes after a blood transfusion is started, and then check the patient periodically according to agency guidelines.

The nurse recommends early ambulation as ordered be included in the patient’s plan of care. Which of the following can be prevented by early ambulation?

The nurse is caring for a patient who is to have a nephrectomy. The patient states that the surgeon said that this surgery is considered a “curative procedure.” Which of these responses would be appropriate by the nurse?