Author Question: The nurse is assessing a patient's arm for inflammation. Which are signs that a localized ... (Read 39 times)

rayancarla1 · **on:** Jun 25, 2018

The nurse is assessing a patient's arm for inflammation. Which are signs that a localized inflammatory process is occurring?

Select all that apply.
1. purulent drainage
2. pain
3. hyperemia
4. erythema
5. induration

Question 2

An older patient with a history of lung disease had a pneumococcal vaccination 10 years ago. What should be done for this patient?

1. Draw a blood culture.
2. Remind the patient that he needs a booster in 5 years.
3. Remind the patient that he does not need a flu vaccination.
4. Suggest that the patient have a pneumococcal booster during this visit.

meganlapinski · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 2, 3, 4

The signs of inflammation include erythema, local heat caused by the increased blood flow to the injured area (hyperemia), and pain from tissue swelling and chemical irritation of nerve endings. Purulent drainage typically accompanies an infection. Induration is not a sign of a local inflammatory process.

Answer to Question 2

Correct Answer: 4

Pneumococcal vaccine is generally recommended for the same populations as influenza vaccine. A single dose of this vaccine confers lifetime immunity, although repeating immunization every 5 years may be considered for patients with chronic diseases. A blood culture is used to diagnose the presence of an infection. The flu vaccine and the pneumococcal vaccine are not the same.