— 安全與感染控制 · MEDIUM · SATA —
下列哪些評估結果顯示手術傷口可能出現感染？（選所有適合的）
Which assessment findings indicate an infection in a surgical wound? (Select all that apply.)
- APurulent drainage✓ 正解膿性分泌物
- BErythema extending beyond the incision✓ 正解紅腫範圍超過切口
- CPresence of a serosanguineous discharge存在漿液血性滲出液
- DLocalized warmth at the site✓ 正解局部發熱
- EIncreased pain at the incision site✓ 正解切口處疼痛加劇
— Explanation · 中文詳解 —
手術傷口感染（Surgical Site Infection, SSI）的評估指標需綜合臨床數據。膿性分泌物（Purulent drainage）是明確的發炎反應結果；紅腫範圍擴大（Erythema extending）顯示感染已擴散至周圍組織；局部發熱（Warmth）與疼痛加劇（Increased pain）皆是經典的發炎徵象。護理師透過觀察這些客觀證據，能及早發現感染並通知醫師給予抗生素或清創處理。
Indicators of surgical site infection (SSI) require integration of clinical data. Purulent drainage is a clear sign of an inflammatory reaction; expanding erythema indicates that the infection has spread to surrounding tissues; localized warmth and increased pain are classic signs of inflammation. By observing these objective findings, the nurse can detect infection early and notify the provider to initiate antibiotics or debridement.