Approach to postoperative wound complications Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 44-year-old woman is admitted to the hospital for evaluation of fever 5 days postoperatively after having total abdominal hysterectomy, bilateral salpingectomy, and oophorectomy. Fevers started 3 days post-surgery and she is currently on clindamycin and metronidazole. She also has diffuse abdominal pain, nausea, and vomiting. Temperature is 38.9°C (102°F), pulse is 126/minute, blood pressure is 82/48 mmHg, respiratory rate is 24/minute, and oxygen saturation is 93% on room air. The patient is uncomfortable, pale and diaphoretic. Cardiac examination is unremarkable except for tachycardia and the lungs are clear to auscultation bilaterally. Her surgical incision sites are clean, dry, and intact. There is no surrounding erythema or discharge from the incision site. The abdomen is diffusely tender to palpation with rebound and guarding. Which of the following is the best next step in management?  

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