Difficulty: Medium
Average Score: 70%
Simulated
The nurse is assessing a client who had a surgical excision of a basal cell carcinoma one week ago. Assessment findings include redness, warmth, and serosanguinous drainage from the site. What would be the priority action by the nurse?
Correct answer
A
Rationale
Culturing the wound confirms infection, guiding appropriate treatment for redness, warmth, and drainage.