What phase is a wound in when blood and fluid flow into the vascular space and produce edema, erythema, heat, and pain?
a. Healing
b. Inflammatory
c. Reconstruction
d. Maturation
ANS: B
During the inflammatory phase, blood and fluid leak out of the blood vessels into the vascular space.
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After receiving the hand-off report from the day shift charge nurse, which patient should the evening charge nurse assess first?
a. A patient with meningitis complaining of photophobia b. A mechanically ventilated patient with a GCS of 6 c. A patient with bacterial meningitis on droplet precautions d. A patient with an intracranial pressure ICP of 20 mm Hg and an oral temperature of 104° F
The nurse is developing a concept care map for a client with multiple medical problems. What would the nurse take as the first step in developing and using a concept care map?
A) Assessment B) Assessment/Diagnosis C) Diagnosis/Planning D) Planning/Implementation
When a solution has a pH of less than 7, what is its classification?
a. acid c. neutral b. base d. buffer
The father of a child with acute glomerulonephritis asks the nurse why blood pressure readings are being taken so often. The nurse knows that:
1. The antibiotic therapy the child is receiving can influence increases in blood pressure. 2. The child can develop hypotension at any time because of the damage to the kidneys. 3. A child with this illness can have sudden increases in blood pressure without warning. 4. Blood pressure must be maintained within normal limits to make sure that the kidneys do not stop working.