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a nurse is collecting data from a client who is 5 days postoperative fo…

Question

a nurse is collecting data from a client who is 5 days postoperative following abdominal surgery. the surgeon suspects an incisional wound infection and has prescribed antibiotic therapy for the nurse to initiate after collecting wound and blood specimens for culture and sensitivity. which of the following findings should the nurse expect? select all that apply. a increase in incisional pain b fever and chills c reddened wound edges d increase in serosanguineous drainage e decrease in thirst

Explanation:

Brief Explanations
  • Option A: Pain at the wound site is a common sign of infection as the body's immune response and the presence of pathogens can irritate nerve endings.
  • Option B: Fever and chills are systemic manifestations of the body's response to an infection. The immune system releases pyrogens which raise the body temperature.
  • Option C: Reddened wound edges (erythema) occur due to increased blood flow to the area as part of the inflammatory response to fight the infection.
  • Option D: Serosanguineous drainage is more typical of normal wound healing. Purulent (thick, yellow - green) drainage is associated with infection.
  • Option E: Thirst usually does not decrease in infection. In fact, with fever (a common sign of infection), fluid loss can occur, potentially increasing thirst.

Answer:

A. Increase in incisional pain, B. Fever and chills, C. Reddened wound edges