What produces the characteristic redness and warmth associated with Stage 2 of the inflammatory response?
a. release of chemicals (histamine, bradykinin, serotonin, prostaglandins, lymphokines)
b. increased blood flow to the area
c. plasma leaking into damaged tissue
d. leukocytes infiltrating damaged tissue
B
In Stage 2 of the Inflammatory Process, blood flow increases to the injured area causing the characteristic redness and warmth.
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MC After administering a tap-water enema, the solution was not returned. Which of the following interventions could be helpful in expelling the solution?
A. Gently massage the client's abdomen. B. Instruct the client to turn side-to-side. C. Replace the rectal tube and lower the bag below bed level. D. Administer a stronger enema solution, such as soap suds.
The nurse is planning to compare a client's progress with expected outcomes. The best source of data for this comparison would be:
a. chart audits. b. procedure manuals. c. staffing patterns. d. credentials of staff.
A combination of medications that could be used to treat an anxiety disorder is:
1. Librium and Xanax. 2. Effexor and Ativan. 3. Effexor and Haldol. 4. Klonopin and Valium.
What is the primary purpose of a whirlpool bath given to the patient with a stage III pressure ulcer?
a. To prevent infection b. To stimulate granulation tissue growth c. To improve circulation in surrounding skin d. To provide moisture to the ulcer