A patient sustained an injury to the arm 2 days ago. The patient presents today concerned that the wound is not healing
Which findings would the nurse immediately communicate to the health care provider? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The skin over the area is tight and red.
2. The pain from the wound seems out of proportion to the injury.
3. The wound edges have separated.
4. Crepitus is present around the wound.
5. The patient reports flulike symptoms.
1,2,4,5
Rationale 1: Edema and erythema may indicate progression to necrotizing fasciitis.
Rationale 2: A hallmark finding associated with necrotizing fasciitis is that the amount of pain is not proportional to the wound and mechanism of injury.
Rationale 3: Separation of wound edges may or may not be a significant factor.
Rationale 4: Crepitus occurs when gas is present in the tissues.
Rationale 5: Systemic symptoms may be present when infection occurs.
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