The nurse is assessing an abdominal wound in the postoperative period. Which sign should indicate to the nurse that an infection is present?
1. Absence of bleeding
2. Edges warm to the touch
3. Edges well approximated
4. Sutures in place
Correct Answer: 2
Rationale 1: Absence of bleeding is an indication of healing.
Rationale 2: If the wound becomes warm, red, and edematous, the nurse should suspect an infection and notify the physician.
Rationale 3: Edges that are well approximated are an indication of healing.
Rationale 4: Intact sutures are a sign of healing.
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