Which of these statements about the inflammatory process is TRUE?
a. Inflammation is always accompanied by purulent exudate.
b. Inflammation is not necessarily the result of invading microorganisms.
c. The intensity of the inflammatory process usually reflects the virulence of the pathogen.
d. The process has a varying number of stages depending upon the degree of tissue injury.
B
Inflammation, a nonspecific cellular response to tissue injury created by trauma, bacteria, or other substances, produces a five-stage complex of tissue changes called the inflammatory process. This process serves to localize, neutralize, and resolve the initiating agent within the injured tissue and produces local and systemic signs of inflammation. While inflammation may not be caused by invading microorganisms, its signs and symptoms are similar to those of an infection.
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A nurse is caring for a patient who likely has obsessive-compulsive disorder. The nurse is not familiar with the assessment data and behaviors associated this disorder. What action would be most appropriate for the nurse to take?
1. Document all subjective and objective data provided by the client. 2. Ask the primary health provider to identify needed subjective and objective assessment data. 3. Research obsessive-compulsive disorder in the medical dictionary. 4. Consult the Diagnostic and Statistical Manual of Mental Disorders for diagnostic criteria.
The nurse at a local health clinic is assessing an older adult male who may have broken his leg. The patient's vital signs are within normal limits. The patient is alert and oriented to time, person, and place,
but reports falling off the ladder while trying to change a light bulb. The patient states, "I'm just a mess. I'm no good at anything anymore." Which is the nurse likely to include as part of the assessment? Select all that apply. 1. A sleep assessment 2. A nutrition evaluation 3. A depression inventory 4. A substance abuse assessment 5. A pulmonary assessment
The nurse is instructing a client on ways to reduce episodes of constipation by increasing fluids. This instruction should include information about the Recommended Daily Allowance of fluids for adults, which is:
a. 10 mL/kg body weight. c. 30 mL/kg body weight. b. 20 mL/kg body weight. d. 50 mL/kg body weight.
The client asks the nurse how most medications for dysrhythmias work. What is the best response by the nurse?
1. "Blocking potassium, sodium, or calcium ion channels is the primary way to prevent or terminate dysrhythmias." 2. "Most medications for dysrhythmias shorten the refractory period." 3. "These medications will lower your blood pressure, which will change the rhythm of your heart." 4. "The mechanism of these drugs is unknown."