Which factors determine the size and severity of the inflammatory response? (Select all that apply.)
a. Intensity of the injury
b. Type of tissue injured
c. Severity of the invasion
d. Gender of the patient
e. Extent of injury
f. Duration of the invasion
A, C, E, F
The inflammatory response is nonspecific. The same tissue responses occur with any type of invasion or injury. Size and severity of the inflammatory response depend on intensity, severity, duration, and extent of the injury or invasion.
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Which of the following statements indicate exceptions to the blame-free environment? Select all that apply
1. A nurse notices a colleague changing nursing notes after a client is discharged. 2. A housekeeper reports a nurse who switches syringes when giving client medications. 3. A nurse manager reports a staff nurse who continually miscounts narcotics. 4. A staff nurse falsely reports a colleague for mislabeling client medications. 5. A nurse reports an unlicensed assistant pull a client up too sharply.
What reasons can the nurse give for why barbiturates are no longer considered the mainstay for treatment of anxiety? (Select all that apply.)
A) Adverse effects are more severe. B) There is an increased risk of physical tolerance. C) There is an increased risk of psychological dependence. D) The most common adverse effects are related to cardiac arrhythmias. E) Hypersensitivity reactions can sometimes be fatal.
The nurse charts, "Patient stated pain is at a level of 8 on a scale of 1 to 10 and that he is still nauseated. Patient complains of feeling cold and has an oral temperature of 97.8°." What information would be considered objective findings?
a. Pain measurement b. Presence of nausea c. Sense of cold d. Oral temperature
The nurse is working hard to prevent medication errors. Which plans will assist the nurse in preventing most errors?
1. Plan to validate all orders with another nurse prior to administration of medications. 2. Plan to assess for patient variables such as age, weight, and diagnostic lab studies prior to administration. 3. Plan to tell health care providers that verbal orders will not be accepted. 4. Plan to always check the client's identification band prior to administration of medications. 5. Plan to record the medication on the medication administration record (MAR) immediately prior to administration.