While receiving report from the operating room, the nurse learns that a client's surgical wound for gallbladder removal is classified as III. What could have caused this wound classification?
Select all that apply.
A) The alimentary tract was not entered.
B) The wound is necrotic and infected.
C) Gallbladder contents spilled into the surgical site.
D) A break in sterility occurred during the surgery.
E) The alimentary, respiratory, genital, or urinary tract was entered.
Answer: C, D
An incision is classified as III-contaminated wound if gross spillage occurred. This classification is also identified if a major break in sterile technique occurred. An incision is classified as I-clean if the alimentary, respiratory, genital, and urinary tract are not entered. An incision is classified as IV-dirty, infected if the wound is necrotic and infected. An incision is classified as II-clean contaminated if there are no signs of infection but the alimentary, respiratory, genital, or urinary tracts were entered.
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