Author Question: The school nurse is assessing a child's severely scraped knee for infection. What are signs of a ... (Read 95 times)

segrsyd · **on:** Jun 28, 2018

The school nurse is assessing a child's severely scraped knee for infection. What are signs of a wound infection? (Select all that apply.)

a. Odor
b. Edema
c. Dry scab
d. Purulent exudate
e. Decreased temperature

Question 2

The Apgar score of an infant 5 minutes after birth is 8. Which is the nurse's best interpretation of this?

a. Resuscitation is likely to be needed.
b. Adjustment to extrauterine life is adequate.
c. Additional scoring in 5 more minutes is needed.
d. Maternal sedation or analgesia contributed to the low score.

hramirez205 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A, B, D
Signs of wound infection are odor, edema, and purulent exudate. Increased, not decreased, temperature indicates infection. A dry scab over the wound is part of the healing process.

Answer to Question 2

ANS: B
The Apgar reflects an infant's status in five areas: heart rate, respiratory effort, muscle tone, reflex irritability, and color. A score of 8 to 10 indicates an absence of difficulty adjusting to extrauterine life. Scores of 0 to 3 indicate severe distress, and scores of 4 to 7 indicate moderate difficulty. All infants are rescored at 5 minutes of life, and a score of 8 is not indicative of distress; the newborn does not have a low score. The Apgar score is not used to determine the infant's need for resuscitation at birth.