Question

The nurse's observations of reddened tissue, drainage, and open areas between the staples are characteristic of infection. The reddened periwound tissue may also indicate inflammation, but the drainage and open areas do not. Impaired skin integrity related to limited mobility would be characterized by pressure ulcers and reactive hyperemia. Impaired physical mobility related to incisional pain would be indicated by the patient reporting pain, resisting assisted movement, and not moving in bed

What signs indicate a possible infection in a patient with staples, aside from reddened tissue and open areas between the staples?

a) Warmth, edema, and hardness
b) Reactive hyperemia
c) Limited mobility-related pressure ulcers
d) Drainage from the wound

Answer 1

Signs of possible infection in a patient with staples, aside from reddened tissue and open areas between the staples, include warmth, edema, and hardness, as well as drainage from the wound.

Step-by-step explanation:

In a patient with staples, signs of possible infection in addition to reddened tissue and open areas between the staples include warmth, edema, and hardness (option a), as well as drainage from the wound (option d). These signs indicate that the infection has spread and is causing inflammation and fluid accumulation. Limited mobility-related pressure ulcers (option c) are not specific to infection and can occur due to prolonged pressure on the skin.