A 58 -year-old client undergoes a simple mastectomy after a biopsy on her breast showed invasive ductal carcinoma. The client is discharged with 2 Jackson-Pratt drainage tubes placed under the skin flaps, and each is connected to a collection chamber. The home-health nurse visits one-week post-surgery with the following assessment. VS: Temp: 100.4 F HR: 80 BPM RR: 16 bpm BP: 136/84. The client reports an increase in pain to 6/10 over the past 24 hours and reports tenderness when the nurse palpates the area. The nurse notes swelling, redness, and cloudy thick yellow/green drainage at the incision. Daily drainage from each drain is approximately 30 mL of bloody drainage. Using the case provided, answer the following questions for your initial post. Be sure to review your rubric.
Recognizing Cues· Which patient information is relevant?