During dressing changes,the nurse assesses a client who has had breast reconstruction.Which finding would cause the nurse to take immediate action?

Question

Quizplus · Accepted Answer

A dusky color of the breast flap could indicate poor tissue perfusion and a decreased capillary refill.The nurse should notify the surgeon to preserve the tissue.It is normal to have a slightly reddened incision as the skin heals.The blood pressure is within normal limits and the temperature is slightly elevated but should be monitored.

During Dressing Changes,the Nurse Assesses a Client Who Has Had