The nurse is caring for a client with diabetes mellitus who has a non-healing wound on the bottom of the foot.Which assessment finding causes the nurse to conclude that the wound is likely infected with Clostridia?
A) A crackling sensation under the skin can be felt when palpating around the wound.
B) The area surrounding the wound is dark red, swollen, and draining yellow exudate.
C) The infected area around the wound appears to be expanding to surrounding tissue.
D) The wound drainage has a strong smell of rotten grapes and appears green in color.
Correct Answer:
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