A nurse is caring for an adult patient on the first postoperative day following removal of a bullet due to a gunshot wound. The nurse should plan the instructions for wound care for this patient based on the wound class status called:
A) Clean
B) Clean-contaminated
C) Contaminated-dirty
D) Dirty
Ans: D
Feedback: The teaching should include special emphasis on signs of infection because this type of wound is considered dirty. Dirty wounds are due to trauma or foreign bodies, such as gunshot wounds.
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