The nurse is teaching a client with a leg injury and warmth around the injured area. Which statement by the client indicates a good understanding?
a. "The warmth indicates an infection."
b. "The warmth indicates increased blood flow."
c. "Warmth indicates that the tissues are re-building."
d. "Warmth results from localized vasocon-striction."
B
Injured tissues secrete histamine, serotonin, and kinins, which dilate the arterioles in the area of injury, increasing blood flow and delivery of nutrients and causing warmth.
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The nurse is testing the deep tendon reflexes of a 30-year-old woman who is in the clinic for an annual physical examination. When striking the Achilles heel and quadriceps muscle, the nurse is unable to elicit a reflex
The nurse's next response should be to: a. Ask the patient to lock her fingers and pull. b. Complete the examination, and then test these reflexes again. c. Refer the patient to a specialist for further testing. d. Document these reflexes as 0 on a scale of 0 to 4+.
A community health nurse instructs a local community group on how to prepare homemade oral rehydration solution. Which of the following ingredients would the nurse include?
A) Sea water B) Table salt C) Baking soda D) Crushed bananas
A premature newborn is being treated for respiratory distress syndrome. The nurse teaches the parents about what adverse effect that can occur with the use of lung surfactants?
A) Kidney dysfunction B) Cardiac arrhythmias C) High fever D) Collapsed lung
Which of the following symptoms should a nurse monitor in a client with blepharitis?
A) Patchy flakes clinging to the eyelashes B) A red pustule in the internal tissue of the eyelid C) Redness D) A halo around the pupil