Device-Related Complications (NG, Foley, Drains) Practice Test

A 52-year-old client is 3 days postoperative after mastectomy with a closed-suction drain in place. The nurse notes the drain bulb is not compressed, the dressing is saturated, and the client reports a sudden increase in swelling near the insertion site; vital signs are T 36.96C (98.46F), HR 108/min, BP 118/70 mm Hg. What is the nurse's PRIORITY intervention for this client?

A 68-year-old client with a history of chronic obstructive pulmonary disease (COPD) is 1 day postoperative after abdominal surgery and has an indwelling Foley catheter for accurate intake and output. The client reports suprapubic discomfort and burning; urine in the drainage bag is cloudy with a foul odor, and the temperature is 38.36C (1016F), HR 104/min, BP 128/76 mm Hg. The nurse notes the drainage bag is hanging from the side rail and the catheter tubing has a dependent loop. The nurse should IMPLEMENT which intervention FIRST?