Author Question: The nurse recognizes that a patient has an inflammatory response in a surgical wound on the leg ... (Read 64 times)

fnuegbu

  • Hero Member
  • *****
  • Posts: 539
The nurse recognizes that a patient has an inflammatory response in a surgical wound on the leg when:
 
  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

An example of an appropriate nursing diagnosis is:
 
  a. impaired skin integrity.
  b. skin breakdown noted.
  c. turn patient every 2 hours.
  d. the patient has scabies on his back.



xiaomengxian

  • Sr. Member
  • ****
  • Posts: 311
Answer to Question 1

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

A
Impaired skin integrity is an example of a nursing diagnosis. Skin breakdown noted is an example of a charting entry, turn patient every 2 hours is a nursing intervention, and scabies is a medical diagnosis.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

The U.S. Pharmacopeia Medication Errors Reporting Program states that approximately 50% of all medication errors involve insulin.

Did you know?

Less than one of every three adults with high LDL cholesterol has the condition under control. Only 48.1% with the condition are being treated for it.

Did you know?

Your skin wrinkles if you stay in the bathtub a long time because the outermost layer of skin (which consists of dead keratin) swells when it absorbs water. It is tightly attached to the skin below it, so it compensates for the increased area by wrinkling. This happens to the hands and feet because they have the thickest layer of dead keratin cells.

Did you know?

Acetaminophen (Tylenol) in overdose can seriously damage the liver. It should never be taken by people who use alcohol heavily; it can result in severe liver damage and even a condition requiring a liver transplant.

Did you know?

Over time, chronic hepatitis B virus and hepatitis C virus infections can progress to advanced liver disease, liver failure, and hepatocellular carcinoma. Unlike other forms, more than 80% of hepatitis C infections become chronic and lead to liver disease. When combined with hepatitis B, hepatitis C now accounts for 75% percent of all cases of liver disease around the world. Liver failure caused by hepatitis C is now leading cause of liver transplants in the United States.

For a complete list of videos, visit our video library