Author Question: The client has a 15-cm laceration on his right forearm and an infection develops. Which of the ... (Read 65 times)

maychende

  • Hero Member
  • *****
  • Posts: 556
The client has a 15-cm laceration on his right forearm and an infection develops. Which of the following is a sign of an acute inflammatory process?
 
  a. A blanching of the skin
  b. A decrease in temperature at the site
  c. A decrease in the number of white blood cells (WBCs)
  d. A release of histamine that adds to the pain response

Question 2

Which of the following is a nurse-initiated or independent activity for promotion of respiratory function in a terminally ill client?
 
  a. Limiting fluids
  b. Positioning the client upright
  c. Reducing narcotic analgesic use
  d. Administering bronchodilators



marict

  • Sr. Member
  • ****
  • Posts: 304
Answer to Question 1

D
A sign of an acute inflammatory process is pain. The swelling of inflamed tissues increases pressure on nerve endings, causing pain. Chemical substances such as histamine also stimulate nerve endings, adding to the pain response.
The skin is not blanched, but rather with the increase in local blood flow, it is reddened.
The symptom of localized warmth results from a greater volume of blood at the inflammatory site.
The cellular response of acute inflammation involves WBCs arriving at the site, creating an in-crease in WBCs, not a decrease.

Answer to Question 2

B
Positioning the client upright is an independent nursing intervention for the promotion of respir-atory function in a terminally ill client.
Limiting fluids may not promote respiratory function, and the nurse should not do so unless a client is on a fluid-restricted diet.
Reducing narcotic analgesic use is not a nurse-initiated activity to promote respiratory function. A respiratory rate should be assessed before administering narcotics to prevent further respiratory depression. Management of dyspnea (air hunger) involves judicious administration of morphine and anxiolytics for relief of respiratory distress.
The administration of bronchodilators would require a physician's order. It is not an independent nursing activity.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question


 

Did you know?

Coca-Cola originally used coca leaves and caffeine from the African kola nut. It was advertised as a therapeutic agent and "pickerupper." Eventually, its formulation was changed, and the coca leaves were removed because of the effects of regulation on cocaine-related products.

Did you know?

The first documented use of surgical anesthesia in the United States was in Connecticut in 1844.

Did you know?

Pubic lice (crabs) are usually spread through sexual contact. You cannot catch them by using a public toilet.

Did you know?

The Centers for Disease Control and Prevention (CDC) was originally known as the Communicable Disease Center, which was formed to fight malaria. It was originally headquartered in Atlanta, Georgia, since the Southern states faced the worst threat from malaria.

Did you know?

As of mid-2016, 18.2 million people were receiving advanced retroviral therapy (ART) worldwide. This represents between 43–50% of the 34–39.8 million people living with HIV.

For a complete list of videos, visit our video library