The nurse is caring for a client with severe inflammation. Which assessment findings would indicate a systemic reaction to inflammation?

Select all that apply.
A) Erythema
B) Edema
C) Pain
D) Tachypnea
E) Tachycardia


Answer: D, E

If the nurse observes a systemic reaction, the client will exhibit manifestations including temperature, increased pulse, tachypnea, and leukocytosis. Erythema, warmth, pain, edema, and functional impairment indicate a local reaction.

Nursing

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A teen is brought to the emergency room by a parent. The assessment reveals that the client has been acting strangely for the past three hours and is hypervigilant, grandiose, and irritable

Vital signs indicate hypertension, tachycardia, and some arrhythmias. The teen may have ingested: 1. Alcohol. 2. Crack. 3. Cocaine. 4. Amphetamines.

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A major cause of health-related problems is the increase in the incidence of chronic conditions. This is the case not only in developed countries like the United States but also in developing countries

What factor has contributed to the increased incidence of chronic diseases in developing countries? A) Developing countries are experiencing an increase in average life span. B) Increasing amounts of health research are taking place in developing countries. C) Developing countries lack the health infrastructure to manage illness. D) Developing countries are simultaneously coping with emerging infectious diseases.

Nursing

The client receives nystatin (Nilstat) for a fungal infection in the mouth. The nurse plans to do medication education prior to discharge. What will the best plan by the nurse include?

1. Dissolve the oral tablet in your mouth and then swallow it. 2. Take the oral suspension with a straw to prevent tooth discoloration. 3. Crush the oral tablet, mix it with orange juice, and then swallow it. 4. Swallow the oral tablet whole without chewing or crushing it.

Nursing

The monitoring of program activities, such as hours of service, number of providers used, number of referrals made, and amount of money spent to meet program objectives, is an example of which aspect of program evaluation?

a. Relevance b. Progress c. Efficiency d. Effectiveness

Nursing