You are caring for a patient in the urgent care center who presented with complaints of lethargy, malaise, aching, weakness, and loss of appetite
During the assessment, the nurse notes an area on the patient's right posterior calf that is warm to touch, edematous, and sore. This area is measured at 5 cm x 10 cm and has what appears to be a small puncture wound at its center. The patient tells you that he was out in the woods 3 days ago when he fell and poked his leg on something sticking up out of the ground. The patient cannot tell you what it was that poked into his leg. The patient asks you why he is feeling so bad. You know the most probable cause of this patient's symptoms is what?
A) Local inflammatory response
B) Systemic shock response
C) Local infectious response
D) Systemic inflammatory response
Ans: D
Feedback: The inflammatory response is often confined to the site, causing only local signs and symptoms. However, systemic responses can also occur. During this process, general, nonspecific symptoms develop, including malaise, loss of appetite, aching, and weakness.
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A client notices that the doctor writes "positive Chadwick's sign" on her chart. She asks the nurse what this means. The nurse's best response is:
a. "It refers to the bluish color of the cervix in pregnancy." b. "It means the cervix is softening." c. "The doctor was able to flex the uterus against the cervix." d. "That refers to a positive sign of pregnancy."
A nurse is observing the physician who is giving a medication to a client intrathecally
Which area would be observed to administer the injection? A) Into the muscle tissue B) Into the blood vessels C) Into areas surrounding the spinal cord D) Within the layers of the skin
Hospices provide
A. supportive care to the patient and family. B. care to patients who are expected to live longer than six months. C. physical care only. D. spiritual care only.
List 10 safety measures to use when transferring dependent patients.
What will be an ideal response?