The nurse is assessing a client for the acute phase of the inflammatory immune response. Which of the following are considered cardinal signs of this response? (Select all that apply.)
1. Rubor
2. Tumor
3. Dolor
4. Scarring
5. Calor
6. Loss of function
1, 2, 3, 5
The cardinal signs of the inflammatory response include: rubor or redness; tumor or swelling; dolor or pain; and calor or heat. Loss of function is no longer considered a cardinal sign of the inflammatory response. Scarring is part of the healing response.
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Which action indicates the nurse is functioning as a knowledge worker?
1. The nurse auscultates hypoactive bowel sounds while doing a client assessment eight hours postoperatively after abdominal surgery and documents the assessment in the electronic medical record. 2. The nurse administers four units of regular insulin to the client whose blood glucose is 240 at 11:30 a.m. per physician's sliding scale orders and documents it on the electronic medical administration record. 3. The nurse auscultates diminished breath sounds in a postoperative client the morning after abdominal surgery and encourages the client to turn, cough, and deep breathe every hour instead of every two hours. 4. The nurse obtains the client's vital signs of BP-120/82, P-112, and R-32, totals up the intake of 1040 ml and the output of 1100 ml, and records these data in the electronic medical record.
Which of the following would the nurse assess as a safety hazard for the infant?
1. Alcohol consumption 2. Drowning 3. Pedestrian accidents 4. Suffocation in the crib
Reflex activities concerned with heart rate, blood pressure, respirations, sneezing, swallowing, and coughing are controlled by which area of the brain?
a. Pons b. Midbrain c. Cerebellum d. Medulla oblongata
____________________ are charms that some cultures believe will protect against evil.
Fill in the blank(s) with the appropriate word(s).