Wound assessment is an important part of the nursing care of the postoperative patient. What does ongoing assessment of the surgical site involve?
A) Adherence of the dressing to the wound
B) Discoloration
C) Blanching
D) Granulation of the wound
Ans: B
Feedback: Ongoing assessment of the surgical site involves inspection for approximation of wound edges, integrity of sutures or staples, redness, discoloration, warmth, swelling, unusual tenderness, or drainage. The area around the wound should also be inspected for a reaction to tape or trauma from tight bandages. Materials used for dressings generally do not adhere to the wound. Blanching would only be possible if the area around the wound were reddened or discolored, which is a visual assessment and does not require touching the wound area. Granulation of the wound cannot be assessed without reopening the wound, so it is not done.
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