Question

The nurse suspecting that a client has an infected surgical wound should assess for which sign? Select all that apply.

A.) Coolness
B.) Redness
C.) Swelling
D.) Exudate
E.) Pain

Answer 1

When assessing for an infected surgical wound, the nurse should look for redness, swelling, exudate, and pain.

Step-by-step explanation:

The nurse suspecting that a client has an infected surgical wound should assess for the following signs:

1. Redness: Inflammation causes increased blood flow to the area, resulting in redness.
2. Swelling: Increased blood flow and fluid accumulation lead to swelling.
3. Exudate: Pus or fluid draining from the wound is a sign of infection.
4. Pain: Infection can cause pain at the surgical site.

Therefore, the nurse should assess for redness, swelling, exudate, and pain to determine if the client has an infected surgical wound.