The surgical incision of a patient recovering from a partial colonectomy for colon cancer is red and the skin around the sutures is taut and shiny. Which of the following do these findings indicate to the nurse?
1. the sutures need to be removed
2. a local wound infection that might deteriorate into an enterocutaneous fistula
3. the patient needs to use more pillows when deep breathing and coughing to splint the incision
4. the wound is healing
2
Rationale: The first sign of an enterocutaneous fistula appears as a local wound infection. If the abdominal incision is healing by primary intention, the skin around the sutures or staples may become erythematous and the skin becomes shiny and tight. These clinical findings do not indicate that the sutures need to be removed or that the patient needs to use more pillows when deep breathing and coughing to splint the incision. These findings do not indicate that the wound is healing.
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