The nurse is explaining wound healing to a patient. Which of the following statements explains the healing that occurs during the inflammatory stage of wound healing in a full-thickness wound?
a. A reduction in the size of the wound is noted.
b. The epithelial cells duplicate.
c. Synthesis of collagen occurs at the site.
d. Blood flow to the wound and arrival of white blood cells are increased.
D
Vasodilatation occurs, allowing plasma and blood cells to leak into the wound, noted as edema, erythema, and exudate. Leukocytes (white blood cells) arrive in the wound to begin wound cleanup. Macrophages, a type of white blood cell, appear and begin to regulate wound repair. The result of the inflammatory phase is a clean wound bed in the patient with an uncomplicated wound. It is during the proliferative stage, not the inflammatory stage, that contraction causes a reduction in the size of the wound, duplication of epithelial cells occurs, and collagen is synthesized.
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While being comforted in the emergency department, the six-year-old sibling of a pediatric trauma victim blurts out to the nurse, "It's all my fault! When we were fighting yesterday, I told him I wished he was dead!" The nurse, realizing that th
child is experiencing magical thinking, should respond by: 1. Asking the child if he would like to sit down and drink some water. 2. Sitting the child down in an empty room with markers and paper so that he can draw a picture. 3. Reassuring the child that it is normal to get angry and say things that we do not mean, but that we have no control over whether an accident happens. 4. Calmly discussing the catheters, tubes, and equipment that the patient requires, and explaining to the sibling why the patient needs them.
A nurse has a busy home life and a full-time work schedule and has just been asked to work an overtime night shift. The nurse should recognize that
A) fatigue and lack of sleep can cause errors in care. B) increased hours of work lead to increased competence and confidence. C) rejecting an overtime shift places an unfair burden on coworkers. D) work responsibilities should take precedence over personal responsibilities.
The nurse is providing postoperative education to a transplant patient's family. When asked about detecting rejection, which answer by the nurse is most appropriate?
a. "Endomyocardial biopsies will be performed weekly for the first six weeks after surgery." b. "Increased shortness of breath most likely indicates immediate, acute rejection of the heart." c. "Biopsies of the heart are done every 6 months after the day of the transplant surgery." d. "As time passes, the more biopsies that are performed, the more reliable the results become."
Which child should be assessed for attention-deficit/hyperactivity disorder (ADHD)?
a. A second-grade child reads at a first-grade level. The child cries when left by a parent but loves to run races in the schoolyard at recess. b. A fourth-grade child loves to daydream during class and regularly entertains the class with original stories. The child does not enjoy reading. c. A third-grade child is on detention for the third time this month and is considered the class clown. The child often volunteers to read aloud. d. A second-grade child is withdrawn and plays alone most school days. The child can read a third-grade storybook.