On the First Postoperative Day After Spinal Fusion,the Nurse Assesses

Multiple Choice

On the first postoperative day after spinal fusion,the nurse assesses a client and finds temperature 39.2°C,blood pressure 100/50 mmHg,heart rate 118 bpm,and respirations 23 breathes per min.Drainage at the incision site is clear and tests positive for glucose.Which assessment parameter indicates the highest risk for surgical wound infection?

A) Temperature
B) Incisional drainage positive for glucose
C) Heart rate 118 bpm
D) Presence of incisional drainage