The nurse assessing a client with a surgical wound determines that care has been effective when which of the following is assessed?
1. There is only a scant amount of purulent drainage on the dressing.
2. The client performs wound care independently.
3. A small area of erythema and edema is present.
4. The client's temperature is 100°F.
2. The client performs wound care independently.
Rationale:
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.
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