When blood and fluid flow into the vascular space and produce edema, erythema, heat, and pain, the nurse knows that the wound is in which phase?
a. Healing
b. Inflammatory
c. Reconstruction
d. Maturation
B
During the inflammatory phase, blood and fluid leak out of the blood vessels into the vascular space.
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While engaging in a discussion with a group of teens about risk behaviors, one of the teens says, "That will never happen to me." The nurse interprets this as which of the following?
A) Invincibility fable B) Formal operations C) Egocentric thinking D) Relational aggression
Nancy and Bill Jones are concerned that Bill's father may be developing depression. In questioning the couple, which of the following statements would support their concern?
A) "Bill's father has been crying off and on now for over 2 weeks since his wife died. He's also still having trouble sleeping." B) "Bill's father is agitated and anxious; he's been that way for a month now since his wife died." C) "It's been over 2 months now since his wife died and Bill's father keeps crying; he can't eat, and he can't sleep." D) Bill's Mom's funeral was last week, and Bill's Dad hasn't been able to eat or sleep since then."
A client asks the nurse whether the claims made regarding a new medication are true. The nurse responds based on which act or amendment passed in 1912 that prevents the sale of drugs with false therapeutic claims intended to cheat the consumer?
1. Food, Drug, and Cosmetic Act 2. FDA Modernization Act 3. The Sherley Amendment 4. Pure Food and Drug Act
The nurse observes a client while using the prescribed incentive spirometer. Which items will the nurse include when documenting this observation in the nursing notes?
1. Type of spirometer 2. Number of breaths taken 3. Education provided 4. Medications administered 5. Code status