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The Nurse Is Caring for a Client Who Had a Laparoscopic

Question 227

Multiple Choice

The nurse is caring for a client who had a laparoscopic cholecystectomy 3 days ago.  The client's WBC count has increased from 11,200/mm3 (11.2 × 109/L) to 14,600/mm3 (14.6 × 109/L) over the last 24 hours.  The nurse understands that which of the following assessment findings indicate potential infection?  Select all that apply.


A) Client rating left shoulder pain as 4 on a scale of 0-10
B) Greenish-gray drainage noted on surgical dressing
C) Productive cough with thick, green sputum
D) Stiff abdomen with rebound tenderness on palpation
E) Warm, reddened area around the incision site

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