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NUR 326 Exam 9
- Ya'll I am dying.We literally just had an exam on thursday. I DONT HAVETIME FOR THIS
- True or false
Answer RIP us
Inflammation is always associated with infection.
Answer False!
- An immunologic defense against tissue injury, infection, or allergy.
- What are the three populations at greatest risk for an ineffective inflamma- tory response?
- Very young
- Very old
- Uninsured
- Which of the following patients' is at the greatest risk for a severe of ineffective
Answer Inflam- mation
Answer
inflammatory response?
- A 28-year-old female with hypertension following a colonoscopy.
- A 35-year-old male with heart disease with a chief complaint of chest pain.
- An 82-year-old female who is post-operative for an appendectomy.
- A 53-year-old male with chronic COPD who states he has difficulty breath- ing.
- List 8 common symptoms of inflammation.
Answer C
Answer
- Swelling
- Pain
- Heat
- Redness
- Presence of exudate
- Fever
- Malaise 1 / 4
- Fatigue
- You are a nurse caring for an 82-year-old female who is 6 days postoperative for an
appendectomy. She comes into your clinic complaining of pain at the surgical site.You assess the wound site and find that is it red, swelling, warm, and exudate is seen at the wound site.Which of the following lab tests would you suspect the physician to order to rule out infection?
- Colonoscopy
- Electrolyte status
- WBC with differential
- Hemoglobin A1c
Answer C
- What are four things you can do to reduce inflammation after a sprain, strain, or trauma?
Answer RICE
Rest
Ice Compression Elevation
- What time period after an injury is RICE most beneficial?
Answer 24-48 hours after
- How long should you ice an inflamed injury? How often?
- Should you put an ice pack directly on an inflamed injury?
- What should you monitor after applying a compression device to an injury?
- How high is "high enough" when elevating an extremity?
- List some pharmacological interventions for managing inflammation. 2 / 4
Answer 20 minutes every 2 or 3 hours as indicated
Answer No! You should wrap the ice pack in a towel to prevent further tissue injury.
Answer Monitor for impaired circulation such as cool fingers or toes, tingling, or turning blue in color.
Answer Elevation of the injured area should be about the level of the heart to minimize swelling
Answer
- Steroids
- NSAIDs
- Antipyretics
- Analgesics
- Antimicrobials
- The nurse is completing an admission assessment of a new patient to the unit. The nurse
notes a long, thin, fading scar on the patient's abdomen in the right lower quadrant. What is the best explanation for the scar's appearance?
- Optimal functioning of the inflammatory process after an injury
- Fibrous tissue replacing damaged tissue when injury is extensive
- The development of chronic inflammation
- A surgical incision
- A patient comes to a clinic with a chief complaint of, "My left arm is red and swollen. It
Answer B (Scar tissue, or fibrous repair of damaged tissue, occurs when an area is damaged too extensively for the body to replace damaged tissue with identically functioning tissue after removal of injurious agents and pathogens. Optimal functioning of the inflammatory process will result in regeneration of tissue that functions identically to the damaged and replaced tissue.Chronic inflammation can result in fibrous, or scar, tissue, but that scar tissue production is continuous as the inflammation continues. Fibrous tissue production can result from many different kinds of injuries, not just surgical wounds.)
hurts badly enough that I couldn't go to work today." The
physician orders computer-assisted tomography (CT) scanning of the left upper extremity. The nurse knows the patient understands the reason for the procedure when he states
- "I need to have this done because my arm is broken."
- "The doctor wants me to have this so that the pain will stop."
- "This will tell you what I did to my elbow because I really don't know what happened."
- "This test will help to better determine where the injury actually is and how severe it is."
Answer D (Radiographic imaging studies such as CT scans help to determine the location and extent of inflammation within the body. The CT scan will help with diagnosis. The diagnosis is not 3 / 4
predetermined. CT scanning does not alleviate pain. Radiography does not necessarily determine a cause of an injury.)
- Which of the following patients is at higher risk for inflammatory reac- tions?
- 2-year-old girl with a healthy diet
- 38-year-old man who is obese
- 54-year-old woman in menopause
- 79-year-old man with diabetes
- The nurse is reviewing the erythrocyte sedimentation rate (ESR) of a patient to determine
Answer D (The 79-year-old man is at highest risk for inflammatory reactions among these patients for two reasons, his age and having diabetes.The risk would be high during the first year of life, but this 2-year-old girl has gotten beyond this risk period and she also has the positive factor of a healthy diet. The 38-year-old man is not in a high-risk category because of age but is because of obesity. Although a 54-year-old woman is getting older, being in menopause does not increase the risk for inflammatory reactions.)
which significant finding?
- Determines specific causes of inflammation
- Identifies the location of inflammation within the body
- Confirms the nonspecific presence of inflammation
- Indicates a diagnosis of systemic lupus
- A patient admitted to an acute care floor has rubor of an area of injury on the left lower
Answer C (An elevated ESR is indicative of the presence of inflammation in the body. Proteins produced during the inflammatory process adhere to red blood cells, causing them to be heavier and settle out of blood samples at a faster rate than normal. The ESR does not identify specific causes of inflammation and does not determine a specific location of inflammation. The ESR is a nonspecific indicator of inflammation.)
extremity.The nurse understands that this redness is caused by
- vasodilation.
- extravasation.
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