The nurse is caring for a client after enucleation and notes the presence of bright red drainage on.

The nurse is caring for a client
after enucleation and notes the presence of bright red drainage on the
dressing. The nurse should take which appropriate action?

1. Document the finding 2. Continue
to monitor vital signs 3. Report the finding to the registered nurse (RN) 4.
Mark the drainage on the dressing and monitor for any increase in bleeding