Deck 21: Inflammation

Question 1

On admission to the clinic,the nurse notes a moderate amount of serous exudate leaking from the patient's wound.The nurse realizes that this fluid

A) contains the materials used by the body in the initial inflammatory response.
B) indicates that the patient has an infection at the site of the wound.
C) is destroying healthy tissue.
D) results from ineffective cleansing of the wound area.

Answer 1

contains the materials used by the body in the initial inflammatory response.

Question 2

The nurse reviews the patient's complete blood count (CBC)results and notes that the neutrophil levels are elevated,but monocytes are still within normal limits.This indicates _____ inflammatory response.

A) chronic
B) resolved
C) early stage acute
D) late stage acute

Answer 2

early stage acute

Question 3

A patient comes to the clinic with a complaint of painful,itchy feet.On interview,the patient tells the nurse that he is a college student living in a dormitory apartment that he shares with five other students.The nurse plans to teach the patient to

A) not eat with the other students.
B) avoid sharing razors and other personal items.
C) have his CBC checked monthly.
D) disinfect showers and bathroom floors weekly after use.

Answer 3

avoid sharing razors and other personal items.

Question 4

The nurse assesses the patient and notes all of the following.Select all of the findings that indicate the systemic manifestations of inflammation.

A) Oral temperature 38.6° C/101.5° F
B) Thick, green nasal discharge
C) Patient complaint of pain at 6 on a 0 to 10 scale on palpation of frontal and maxillary sinuses
D) WBC 20 ´ 109/L
E) Patient reports, "I'm tired all the time. I haven't felt like myself in days."

Question 5

A nurse is instructing her patient with ulcerative colitis regarding the need to avoid enteric coated medications.The nurse knows that the patient understands the reason for this teaching when he states which of the following?

A) "The coating on these medications is irritating to my intestines."
B) "I need a more immediate response from my medications than can be obtained from enteric coated medications."
C) "Enteric coated medications are absorbed lower in the digestive tract and can be irritating to my intestines or inadequately absorbed by my inflamed tissue."
D) "I don't need to use these medications because they cause diarrhea, and I have had enough trouble with diarrhea and rectal bleeding over the past weeks."

Question 6

A patient is diagnosed with a sprain to her right ankle after a fall.The patient asks the nurse about using ice on her injured ankle.The nurse should tell the patient that

A) she should use ice only when the ankle hurts.
B) ice should be applied for 15 to 20 minutes every 2 to 3 hours over the next 1 to 2 days.
C) she should wrap an ice pack around the injured ankle for the next 24 to 48 hours.
D) ice is not recommended for use on the sprain because it would inhibit the inflammatory response.

Question 7

A patient is being treated with an antibiotic.The nurse explains to the patient that this medication is required for the reduction of inflammation at the injury site because this medication

A) will decrease the pain at the site.
B) helps to kill the infection causing the inflammation.
C) inhibits cyclooxygenase.
D) will reduce the patient's fever.