A nurse is caring for a client who has an infected surgical wound on his abdomen. The nurse notes that the wound has redness, warmth, swelling, pain, and purulent drainage. The nurse recognizes these findings as indicative of what stage of inflammation?

Choice A reason:

This is an incorrect answer because cardiogenic shock is a severe form of heart failure that occurs when the heart cannot pump enough blood to maintain adequate tissue perfusion and oxygenation, resulting in hypotension, tachycardia, oliguria, altered mental status, and cold and clammy skin.

Choice B reason:

This is an incorrect answer because pulmonary embolism is a condition in which a blood clot travels to the lungs and blocks one or more pulmonary arteries, causing sudden dyspnea, chest pain, hemoptysis, tachypnea, and hypoxia.

Choice C reason:

This is a correct answer because right-sided heart failure occurs when the right ventricle of the heart fails to pump blood effectively to the lungs, causing blood to back up in the systemic circulation and leading to fluid accumulation in the lungs, neck veins, and extremities.

Choice D reason:

This is an incorrect answer because left-sided heart failure occurs when the left ventricle of the heart fails to pump blood effectively to the body, causing blood to back up in the pulmonary circulation and leading to pulmonary congestion, dyspnea, orthopnea, coughing, and fatigue.

Choice B reason:

Transparent film dressing is a type of dressing that consists of a thin sheet of polyurethane with an adhesive coating. It allows oxygen and moisture vapor to pass through but prevents bacteria and water from entering the wound. It is suitable for wounds with minimal drainage, such as superficial abrasions or donor sites.

Choice C reason:

Calcium alginate dressing is a type of dressing that consists of fibers derived from seaweed that form a gel-like substance when they come in contact with wound exudate. It absorbs large amounts of drainage and supports autolytic debridement of necrotic tissue. It is suitable for wounds with heavy drainage, such as pressure ulcers or venous ulcers.

Choice D reason:

Hydrogel dressing is a type of dressing that consists of water or glycerin-based gel that provides moisture to dry wounds and supports autolytic debridement of necrotic tissue. It is suitable for wounds with minimal to moderate drainage, such as partial-thickness burns or radiation injuries.