Mrs. Van Doern is being examined on postop day 3 following surgical resection

following a bowel obstruction. The postoperative course been unremarkable. Upon removal of the dressing, the incision is dry with staples intact. There is an approximately 0.5 cm erythema around the incision. There is no exudate. The patient demonstrates some discomfort on palpation of the site. The most appropriate approach to this patient includes:

A.Leaving the wound open to air and medicating for pain

B. Ordering a topical antibiotic, replacing the dressing with a nonadherent dressing, and following up in 2 days

C. Beginning systemic antibiotics to cover skin flora

D.Obtaining a white blood cell differential, redress the wound and reassess in the a.m.

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