Which finding would indicate that a patient is experiencing a systemic reaction associated with an inflammatory response?
1. Fever
2. Erythema
3. Edema
4. Pain
1
Rationale 1: Fever is a sign that the inflammatory response has become systemic.
Rationale 2: Erythema indicates a local reaction.
Rationale 3: Edema indicates a local reaction.
Rationale 4: Pain indicates a local reaction.
You might also like to view...
A patient with a diagnosis of HF is started on a beta-blocker. What is the nurse's priority role during gradual increases in the patient's dose?
A) Educating the patient that symptom relief may not occur for several weeks B) Stressing that symptom relief may take up to 4 months to occur C) Making adjustments to each day's dose based on the blood pressure trends D) Educating the patient about the potential changes in LOC that may result from the drug
A nurse had shared a great deal of information with a new client. Time had passed, but the nurse had more to share and was energetically doing so. Which of the following should the nurse use as a guide to determine when to stop teaching
and plan the next visit? a. After about an hour b. Depends on what other visits the nurse had scheduled that day c. When the client or family members start fidgeting d. When the client begins to look tired e. When the client demonstrates symptoms of sensory overload
A client who is malnourished has a total lymphocyte count of 1450/mm3 . Which instruction does the nurse provide to the unlicensed assistive personnel helping to care for this client?
a. "Wash your hands or use hand foam when you first enter the room." b. "Be sure to offer this client a glass of wa-ter each time you are with the client." c. "You may need to open cartons and packages on the client's food tray." d. "Record all of the client's food and drink intake for the shift."
A mother of a young child enters the kitchen and finds the child on the floor. There is a bottle of cleanser next to the child and particles of the substance around the child's mouth. The parent's first action should be to:
1. Call the Poison Control unit 2. Provide ipecac syrup 3. Check the child's airway and breathing 4. Remove the particles of cleanser from the mouth