Aclient who has a history of emphysema is transported back to the nursing unit after a radical neck dissection for cancer of the tongue. the client is receiving oxygen and an intravenous infusion. within the first hour, the client has 50 ml of sanguineous drainage in the portable wound drainage system. which initial action should the nurse take?

The nurse should note all the vital signs and report it.  

The sanguineous drainage or the bloody drainage is normal in the first few hours of the surgery and drainage up to 50 milliliters are generally observed in such case. The bloody drainage is caused because of the dissection and the clotting mechanism is not still activated in that particular region. So, the nurse should record all the vital signs of the patient and report it to the physician.  

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explanation:

i didn't have the answer choices , but i tried my best.

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