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Author Question: What assessment does the nurse recognize as an inflammatory response in a surgical wound on the leg ... (Read 12 times)

CQXA

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on: Jul 11, 2018
What assessment does the nurse recognize as an inflammatory response in a surgical wound on the leg of a patient?
 
  a. A foul drainage is coming from the wound
  b. The affected leg is cooler than the other leg
  c. There are raised, red, pruritic welts on the leg
  d. Rubor and edema appear around the wound

Question 2

What implementation might the nurse use to improve safety during a transfer?
 
  a. Weighing the patient first
  b. Using a transfer belt
  c. Putting shoes on the patient
  d. Supporting a flaccid arm


hollysheppard095

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Reply #1 on: Jul 11, 2018
Answer to Question 1

ANS: D
Rubor and edema are two of the cardinal signs of an inflammatory response. Foul drainage suggests infection, the affected leg being cooler than the other leg suggests circulatory disorder, and raised, red, pruritic welts on the leg suggest allergy.

Answer to Question 2

ANS: B
As a general rule, the nurse should use a transfer belt.


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