A patient with an inflammatory response is prescribed a nonsteroidal anti-inflammatory drug (NSAID). The nurse understands the patient was prescribed this medication for which reason?
1. to increase the production of histamine
2. to increase the flow of serosanguineous drainage
3. to reduce the production of serotonin
4. to reduce prostaglandin synthesis
Correct Answer: 4
Aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs), as well as glucocorticoids, inhibit prostaglandin synthesis and thereby reduce fever, pain, and inflammation. Histamine production is increased by the use of an NSAID. The flow of serosanguineous drainage is not associated with the actions of nonsteroidal anti-inflammatory medications. Serotonin is contained in the granules of basophils and is not impacted by NSAIDs.
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The patient asks the nurse if the placement of the autograft over his full-thickness burn will be the only surgical intervention needed to close his wound. The nurse's best response would be:
a. "Unfortunately, an autograft skin is a temporary graft and a second surgery will be needed to close the wound." b. "An autograft is a biological dressing that will eventually be replaced by your body generating new tissue." c. "Yes, an autograft will transfer your own skin from one area of your body to cover the burn wound." d. "Unfortunately, autografts frequently do not adhere well to burn wounds and a xenograft will be necessary to close the wound."
The nurse understands that a client with a Bishop score of 8
a. is not a candidate for induction of labor b. has an unfavorable cervix for vaginal delivery c. most likely will have a prolonged labor d. will have a 10 percent induction failure rate
A preterm infant will be hospitalized for an extended time. Assuming her condition is improving, which environment would you devise as the one most suitable for her?
A) Keep her environment free of color to reduce eye straining. B) Provide a mobile she can see no matter how she is turned. C) Place her Isolette near the window so she can see outside. D) Bring her open bassinet near the desk area so she sees people.
The nurse is aware that to achieve the most therapeutic effects, the best time to administer oseltamivir (Tamiflu) or zanamivir (Relenza) is:
1. as soon as the client has been exposed to someone with influenza. 2. any time during the course of the illness. 3. at the same time as the vaccine. 4. within 48 hours of the onset of symptoms.