While receiving report from the operating room, the nurse learns that a client's surgical wound after gallbladder removal is classified as III. What does this classification tell the nurse? Select all that apply.

Question

Quizplus · Accepted Answer

A)An incision is classified as III-contaminated if gross spillage from the GI tract occurred. This classification is also identified if a major break in sterile technique occurred. An incision is classified as I-clean if the alimentary, respiratory, genital, and urinary tract are not entered. An incision is classified as IV-dirty, infected if the wound is necrotic and infected. An incision is classified as II-lean contaminated if there are no signs of infection but the alimentary, respiratory, genital, or urinary tracts were entered.
B)An incision is classified as III-contaminated if gross spillage from the GI tract occurred. This classification is also identified if a major break in sterile technique occurred. An incision is classified as I-clean if the alimentary, respiratory, genital, and urinary tract are not entered. An incision is classified as IV-dirty, infected if the wound is necrotic and infected. An incision is classified as II-lean contaminated if there are no signs of infection but the alimentary, respiratory, genital, or urinary tracts were entered.
C)An incision is classified as III-contaminated if gross spillage from the GI tract occurred. This classification is also identified if a major break in sterile technique occurred. An incision is classified as I-clean if the alimentary, respiratory, genital, and urinary tract are not entered. An incision is classified as IV-dirty, infected if the wound is necrotic and infected. An incision is classified as II-lean contaminated if there are no signs of infection but the alimentary, respiratory, genital, or urinary tracts were entered.
D)An incision is classified as III-contaminated if gross spillage from the GI tract occurred. This classification is also identified if a major break in sterile technique occurred. An incision is classified as I-clean if the alimentary, respiratory, genital, and urinary tract are not entered. An incision is classified as IV-dirty, infected if the wound is necrotic and infected. An incision is classified as II-lean contaminated if there are no signs of infection but the alimentary, respiratory, genital, or urinary tracts were entered.
E)An incision is classified as III-contaminated if gross spillage from the GI tract occurred. This classification is also identified if a major break in sterile technique occurred. An incision is classified as I-clean if the alimentary, respiratory, genital, and urinary tract are not entered. An incision is classified as IV-dirty, infected if the wound is necrotic and infected. An incision is classified as II-lean contaminated if there are no signs of infection but the alimentary, respiratory, genital, or urinary tracts were entered.

While Receiving Report from the Operating Room, the Nurse Learns