A 35-year-old male is diagnosed with lobar pneumonia (lung infection). Which of the following exudates would be present in highest concentration at the site of this advanced inflammatory re-sponse?
a. Serous
b. Purulent
c. Hemorrhagic
d. Fibrinous
ANS: D
Fibrinous exudates occur in the lungs of individuals with pneumonia. Serous fluid is watery flu-id, as in a blister. Purulent is characterized by an abscess, such as pus. Hemorrhagic occurs when the exudates are filled with erythrocytes.
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a. Give the dose and document the concern. b. Call the pharmacy for a consultation. c. Call the physician to question the order. d. Hold the medication for that day.
The nursing instructor knows that further education is needed when a student makes which statement?
1. "Assessment precedes nursing diagnosis and outcome identification." 2. "Planning follows nursing diagnosis and outcome identification and precedes implementation." 3. "Evaluation follows implementation and precedes planning." 4. "Planning follows assessment and precedes evaluation."
An elderly patient reports having watery diarrhea for several days before coming to the clinic. This morning the patient is lethargic and confused. The nurse would assess this patient for which electrolyte imbalance?
1. Hypernatremia 2. Hyponatremia 3. Hypermagnesemia 4. Hyperkalemia
The best cure for pressure ulcers is ________.
Fill in the blank(s) with the appropriate word(s).