The nurse is caring for an older postoperative client. Which assessment finding causes the nurse to assess further for a wound infection?
a. Moderate serosanguineous drainage is seen on the dressing.
b. The client is now confused but was not confused previously.
c. The white blood cell differential indicates a right shift.
d. The white blood cell count is 8000/mm3.
B
Older adult clients often do not demonstrate typical signs and symptoms of infection because of the diminished immune function seen with aging. Often, the first sign of infection is mental sta-tus changes. Any change in mental status in the older postoperative client should lead the nurse to assess for a wound infection.
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