VATI Medical-Surgical Nursing Practice Exam

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What are the signs of infection that nurses assess for in surgical patients?

Increased heart rate and blood pressure

Redness, swelling, warmth, and discharge at the incision site

The signs of infection that nurses assess for in surgical patients include redness, swelling, warmth, and discharge at the incision site. These signs are part of the classic clinical presentation of inflammation and infection. When a surgical incision becomes infected, the body's response includes increased blood flow to the area, leading to redness and warmth. Swelling occurs due to the accumulation of fluid and immune cells as the body attempts to fight off the infection. Discharge may also be a key indicator, which could present as pus or other exudates, indicating the presence of bacteria and inflammatory processes.

Recognizing these signs is critical for early identification and intervention, which can help prevent complications such as abscess formation or systemic infection. Monitoring the incision site closely allows for timely reporting and management of potential infections, enhancing patient outcomes after surgery.

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Pain management and dietary intake

Full range of motion and mobility level

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