The nurse is reviewing a postoperative client's chart prior to a physician's office visit
Lab reports reveal a prior WBC of 40,000/mm3, a current WBC count of 8000/mm3, and a current wound culture negative, following a Staphylococcus aureus infection. Tertiary intention of wound healing is documented at the last visit. Which current assessment of wound healing is anticipated? A) Wound edges well approximated. No redness/swelling noted.
B) Edges of incision well approximated with the center of incision open. Green purulent drainage noted.
C) Wound edges sutured. Scant amount of drainage noted. No foul odor.
D) Wound packed with inch sterile packing material; interior pink.
C
Feedback:
The scenario stated a previous wound infection that has resolved. Sutured wound edges are present once the wound has been cleaned of infection as noted in tertiary intention of wound healing. Well-approximated edges are healing without infection. Wound packing is noted in secondary intention. Green purulent drainage is noted with a wound infection.
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