During a morning assessment, a nurse notices a change in a patient's wound. Which of the following samples of documentation would indicate a possible infection?
1. Dressing dry and intact, small amount of serosanguineous drainage.
2. Incision line well-approximated, moderate amount of drainage noted.
3. Incision intact, small amount of pink granulation along incision line, no drainage.
4. Incision intact, moderate amount of purulent drainage, foul odor.
Question 2
A nurse notes an increase in serosanguineous drainage from a patient's incision. The most appropriate action for the nurse to take is to
1. Notify the physician of increasing amounts of clear drainage.
2. Draw a circle around the drainage and write the date, time, and initials on the dressing.
3. Change the dressing to decrease the patient's risk for infection.
4. Immediately call the laboratory and order a white blood cell (WBC) count.
assessment techniques
Nursing history for neck assessment
A computerized patient registration form used by offices with electronic health records.
The medical assistant escorts the patient into the examination room.
This patient presented with a case of facial palsy caused by an infection by the bacterial ...
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