D.R. is a 54 year old male patient who was admitted for the management of cellulitis and treated with parenteral

antibiotics. He has not been responding as well as anticipated. During today’s exam, the AGACNP noted changes. All of the following indicate the need for immediate surgical evaluation except

a) Skin anesthesia

b) Violaceous bullae

c) Gas bubbles in tissue

d) Lymphangetic spread