Practice Quiz

CNOR Operating Room Nursing

Category - Transfer

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The first day following surgery, the nurse checks the patient’s surgical incision and notes a small amount of inflammation, serosanguineous drainage from the site, and skin that is warm to the touch. What should the nurse do in this situation?
  1. Cleanse the area with chlorhexidine soap.
  2. Administer antibiotics to treat the developing infection.
  3. Notify the physician for further orders.
  4. Keep the area clean and continue to monitor the site.
Explanation
Answer: D-In this situation, the nurse should keep the area clean and continue to monitor the site. The first day following surgery, the patient’s incision will go through an inflammatory period, which is part of the healing process. The skin may become slightly warm or edematous, and some serosanguineous drainage is normal. This stage typically lasts for up to four days after the wound was created.
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