The nurse is caring for a school-aged child who has injured his ...

[acc299]

The nurse is caring for a school-aged child who has injured his leg after a bicycle accident. To determine whether the child is experiencing a localized inflammatory response, the nurse should assess for which of these signs and symptoms?
 
  a. Fever, malaise, anorexia, and nausea and vomiting
  b. Chest pain, shortness of breath, and nausea and vomiting
  c. Dizziness and disorientation to time, date, and place
  d. Edema, redness, tenderness, and loss of function

Question 2

Care designed to prevent further progression of a disease is termed
 
  a. Primary prevention.
  b. Secondary prevention.
  c. Tertiary prevention.
  d. Health promotion.

[steff9894]

Answer to Question 1

D
The body's cellular response to an injury is seen as inflammation. Inflammation can be triggered by physical agents, chemical agents, or microorganisms. Signs of localized inflammation include swelling, redness, heat, pain or tenderness, and loss of function in the affected body part. Systemic signs of inflammation include fever, malaise, and anorexia, as well as nausea and vomiting. Chest pain, shortness of breath, and nausea and vomiting are signs and symptoms of a cardiac alteration. Dizziness and disorientation to time, date, and place may indicate a neurologic alteration.

Answer to Question 2

C
Tertiary prevention is defined as care that prevents further progression of disease. Primary prevention consists of health-promoting behaviors or activities that reduce the occurrence of an illness. Secondary prevention is early diagnosis and treatment of illness (e.g., screening for hypertension). Health promotion includes activities that develop human attitudes and behaviors to maintain or enhance well-being.