A nurse is caring for an adult client in the medical-surgical unit who recently underwent minor surgery. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.

🎯 Most Likely Condition Surgical site infection Rationale: The client has localized redness, swelling, tenderness, warmth, and a rising temperature (from 37.8°C to 38.1°C). These are hallmark signs of infection rather than normal post-op healing. 🩺 Actions the Nurse Should Take Clean and dress the wound Rationale: Maintains sterility, prevents further contamination, and addresses the partially detached dressing. Administer antibiotics as ordered Rationale: Treats the underlying infection directly, per provider orders. 📊 Parameters to Monitor Vital signs Rationale: Fever, tachycardia, and changes in blood pressure or respiratory rate can indicate systemic spread of infection. Incision appearance Rationale: Monitoring redness, swelling, warmth, and drainage helps track local infection progression or resolution.