The First Day Following Surgery, the Nurse Checks the Patient's

Multiple Choice

The first day following surgery, the nurse checks the patient's surgical incision and notes a small amount of inflammation, serosanguineous drainage from the site, and skin that is warm to the touch. What should the nurse do in this situation?

A) Cleanse the area with chlorhexidine soap.
B) Administer antibiotics to treat the developing infection.
C) Notify the physician for further orders.
D) Keep the area clean and continue to monitor the site.