The nurse explains to a patient with a painful toe that the pain is related to the inflammatory response. What process causes this discomfort?
a. Swelling, which compresses nerves.
b. Enzyme release, which irritates the area.
c. Acidic waste from the destroyed cells.
d. Heat of lysis, which affects the nerves.
A
The swelling brought on by the fluid that collects at the site compresses nerves, causing pain.
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Serologic testing of a middle-aged woman with a recent history of severe flu-like symptoms has just resulted in a diagnosis of hepatitis A
Which of the following assessment questions should the nurse prioritize when discussing this diagnosis with the patient? A) "Are you currently in a monogamous sexual relationship?" B) "How would describe your typical diet? C) "Which restaurants have you eaten in over the past few weeks?" D) "Have you ever used recreational drugs?"
The nurse prepares to place the client in skin traction. Which is the nurse's main concern before applying the traction?
1. Obtain informed consent from client. 2. Verify a completed client assessment. 3. Prepare a sterile field for pin insertion. 4. Construct overhead frame and pulleys.
During a skin assessment, the nurse notes an extravasation of blood into the skin layers that was caused by an injury. Which is most appropriate when documenting this finding?
1) Ecchymosis 2) Petechiae 3) Purpura 4) Telangiectasia
A woman is reporting bladder urgency. It is most important to assess:
A) exercise. B) weight. C) caffeine intake. D) vitamin supplements.