The nurse is assessing a client with a surgical wound.Which observation indicates that care has been effective for this client?
A) The client's temperature is 100°F.
B) The client performs wound care independently.
C) There is only a scant amount of purulent drainage on the dressing.
D) A small area of erythema and edema is present.

Question

Quizplus · Accepted Answer

A) Evidence of effective care for a client with a surgical wound includes the client performing wound care independently. Purulent drainage and an elevated temperature could mean the wound is infected. Erythema and edema could indicate the wound is inflamed or infected.
B) Evidence of effective care for a client with a surgical wound includes the client performing wound care independently. Purulent drainage and an elevated temperature could mean the wound is infected. Erythema and edema could indicate the wound is inflamed or infected.
C) Evidence of effective care for a client with a surgical wound includes the client performing wound care independently. Purulent drainage and an elevated temperature could mean the wound is infected. Erythema and edema could indicate the wound is inflamed or infected.
D) Evidence of effective care for a client with a surgical wound includes the client performing wound care independently. Purulent drainage and an elevated temperature could mean the wound is infected. Erythema and edema could indicate the wound is inflamed or infected.

The Nurse Is Assessing a Client with a Surgical Wound