On the First Postoperative Day After Spinal Fusion,the Nurse Assesses

question 57

Multiple Choice

On the first postoperative day after spinal fusion,the nurse assesses a client and finds temperature 39.2°C,blood pressure 100/50 mmHg,heart rate 118 bpm,and respirations 23 breathes per min.Drainage at the incision site is clear and tests positive for glucose.Which assessment parameter indicates the highest risk for surgical wound infection?

• A) Temperature
• B) Incisional drainage positive for glucose
• C) Heart rate 118 bpm
• D) Presence of incisional drainage

---

Definitions:

Gain Or Loss

A financial term indicating the positive or negative difference between the value of something at two different times.

BE

An acronym that could stand for various terms depending on context, such as "Base Excess" in blood gas analysis, indicating the excess or deficit in the amount of base in the blood.

X-Ray Images

Pictures obtained by using X-ray technology to visualize the internal structures of the body, aiding in medical diagnosis.

Screen Monitor

An electronic output device that displays information in pictorial form, usually used with computers.