The Nurse Is Assessing a Patient Who Is 36 Hours

The nurse is assessing a patient who is 36 hours postpartum following a cesarean delivery. Which findings cause the nurse to conclude that a wound infection is developing? Select all that apply.

A) Temperature increase from 99.8°F to 100.5°F
B) Incisional tenderness with palpation
C) Increased margins of incisional redness
D) Notably warm skin around the incision
E) Serosanguinous drainage from the suture line