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Lewis Med-Surg Ch. 11 Inflammation and Wound Healing
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The nurse assesses a patient's surgical wound on the first postoperative day and notes redness and warmth around the incision. Which action by the nurse is appropriate? a. Obtain wound cultures. c. Notify the health care provider. b. Document the assessment. d. Assess the wound every 2 hours. - ANS: B The incisional redness and warmth are indicators of the normal initial (inflammatory) stage of wound healing by primary intention. The nurse should document the wound appearance and continue to monitor the wound. Notification of the health care provider, assessment every 2 hours, and obtaining wound cultures are not indicated because the healing is progressing normally.
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Med-Surg Ch.
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Med-Surg Ch.
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the nurse assesses a patients surgical wound on the first postoperative day and notes redness and warmth around the incision which action by the nurse is appropriate a obtain wound cultures c
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