Question

a nurse is changing the dressings for a client recovering from an appendectomy following a ruptured appendix. the clients surgical wound is healing by secondary intention. which of the following observations should the nurse report to the provider?
tenderness when touched
pink, shiny tissue with a grainy appearance
serosanguineous drainage
a halo of erythema on the surrounding skin

Explanation:

Tenderness when touched, pink - shiny tissue with a grainy appearance, and serosanguineous drainage are normal findings in a wound healing by secondary intention. However, a halo of erythema on the surrounding skin can indicate infection and should be reported to the provider.

Answer:

A halo of erythema on the surrounding skin