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On the First Postoperative Day After Spinal Fusion, the Nurse

question 112

Multiple Choice

On the first postoperative day after spinal fusion, the nurse assesses a client and notes the following vital signs: T 39.2°C, BP 100/50 mmHg, HR 118, and RR 23. Drainage at the client's incision site is clear and tests positive for glucose. Which assessment parameter indicates the highest risk for surgical wound infection?


Definitions:

Tropical Climate

A non-arid climate characterized by consistent high temperatures throughout the year, usually found within 23.5 degrees north or south of the equator.

Organic Debris

Organic matter, such as leaves, twigs, and other plant or animal material, that has accumulated in a natural environment.

Calcium Carbonate

A chemical compound with the formula CaCO3, commonly found in rocks as the minerals calcite and aragonite and is the main component of pearls and the shells of marine organisms.

Clay

1. Any fine-grained sedimentary particle that is finer than 1/256 mm. 2. A family of finely crystalline, hydrous-silicate minerals with a two- or three-layered crystal structure.

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