Marsie is an 83 year old patient admitted for right total knee replacement. She

Question

Marsie is an 83 year old patient admitted for right total knee replacement. She has a history of DMT2, hypertension and urinary incontinence. Since admission, Marsie has undergone an ultrasound (Monday, 1130hrs), chest xray (Tuesday 0745hrs), IVC insertion (Monday 1830hrs), IDC insertion (Monday 1900hrs) and wound swabs (Monday 0600hrs). It is now 2000hrs Thursday. Which of the following is your nursing priority? (a) Following up on the ultrasound report. (b) Organise an IVC resite to give IVABs at 2030. (c) Take a second set of wound swabs. The first showed not signs of infection, but the wound now looks hot, shiny and red. (d) Empty the catheter bag and update the FBC.

Explanation / Answer

Answer: (c)

Hot , shiny and red wound is a sign of infection. Early diagnosis and treatment can be aided by the appropriate nursing interventions.

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