Two days after a patient undergoes abdominal surgery, his surgical incision is red and slightly edematous; it is oozing a small amount of serosanguineous (pink-tinged serous) fluid
On the basis of these data, what can you conclude? Select all that apply.
a. The wound is most likely infected.
b. This is a vascular response to inflammation.
c. Damaged cells are being regenerated.
d. Exudate formation is occurring.
B, D
During the vascular response phase of the inflammatory process, blood vessels constrict to control bleeding. Fluid from the capillaries moves into tissues, causing edema. The fluid and white blood cells that move to the site of injury are called exudates; this includes the serosanguineous exudate that commonly appears at surgical incisions. When a wound becomes infected, yellow, foul-smelling drainage may form at the site; there is no mention of pus in the scenario. Regeneration occurs when identical or similar cells replace damaged cells; although this may be occurring, you cannot prove it with the data given here.
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The nurse is obtaining a health history on a 3-month-old infant. During the interview, the mother states, "I think she is getting her first tooth because she has started drooling a lot." The nurse's best response would be:
a. "You're right, drooling is usually a sign of the first tooth." b. "It would be unusual for a 3 month old to be getting her first tooth." c. "This could be the sign of a problem with the salivary glands." d. "She is just starting to salivate and hasn't learned to swallow the saliva."
A client being seen in the mental health clinic is being started on tricyclic antidepressants for treatment of depression
Which of the following conditions in the client's history should be brought to the attention of the primary care provider? A) The client has a history of previous suicide attempts. B) The client lives alone. C) The client was unresponsive to treatment with selective serotonin reuptake inhibitors (SSRIs). D) The client smokes cigarettes.
The nurse working in an outpatient obstetric clinic assesses four primigravida clients. Which client findings would the nurse tell the physician about?
1. 17 weeks' gestation and client denies feeling fetal movement 2. 24 weeks' gestation and fundal height is at the umbilicus 3. 4-6 weeks' gestation and softening of the cervix 4. 34 weeks' gestation and complains of hemorrhoidal pain
An 8-year-old child enters the clinic. He has recently emigrated from another country and has received no immunizations. His parent does not believe that he has had chickenpox
Which immunizations should he receive at this visit? (Select all that apply.) a. Pertussis b. Tetanus c. MMR d. PPD e. Hep B (begin series) f. IPV g. Varicella h. Hib