Ati Med Surg Proctored Exam
A nurse is assessing a client who has a stage 3 pressure injury. Which of the following findings indicates possible infection of the wound?
Explanation & Rationale
A. Localized tenderness is a common sign of wound infection. Pain is often the first sign before drainage or odor becomes apparent. Requires prompt evaluation and possible culture or antibiotic therapy. B. Granulation tissue indicates healthy healing and is not a sign of infection. It appears as moist, red, “beefy” tissue. C. Serosanguineous drainage is typical during healing and does not necessarily indicate infection. D. A moist wound bed promotes healing and is not an indication of infection. Dry wounds heal poorly.
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