RN ATI Capstone Proctored Post Assessment
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RN ATI Capstone Proctored Post Assessment
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Question: 1 of 63Rn ati capstone proctored post assessment
A nurse is replacing the dressing for a client who is postoperative following thoracic surgery. When assessing the surgical wound, which of the following findings should the nurse identify as an indication of infection?
Explanation
Rationale: A. Pink coloration at the incision site is a normal finding during healing and not a sign of infection. B. A temperature of 37.2°C (99°F) is within the normal range and does not indicate infection. C. Swelling that extends significantly (3.8 cm) from the incision suggests inflammation beyond the expected surgical response, which is a strong indication of infection. D. Crusting along the incision line is a normal part of wound healing and not necessarily an indication of infection.
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