The nurse suspects that a patient is experiencing a local inflammatory response. What findings would support this conclusion?

Select all that apply.
1. temperature under 96.8°F (36°C)
2. heat at the site of injury
3. increased platelets
4. edema
5. functional impairment


Correct Answer: 2, 4, 5
The signs of a local inflammatory response are warmth, edema, and functional impairment. The temperature may be increased or decreased in response to a systemic infection. The platelet response would be related to a systemic event.

Nursing

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