Author Question: A patient has suffered from several infections in the last 6 months and unexplained impaired wound ... (Read 43 times)

karateprodigy · **on:** Jul 23, 2018

A patient has suffered from several infections in the last 6 months and unexplained impaired wound healing. What assessment should the nurse prioritize?

A) Assess for pain.
B) Assess for nutritional deficiencies.
C) Assess genetic tendency for infection.
D) Assess for edema and decreased hemoglobin.

Question 2

A patient has been using phenylephrine (Neo-Synephrine) for nasal congestion. He states to the nurse that he is using more every day because his nose is so congested. What effect is the medication producing?

A) Reflex bradycardia
B) Mucosal hemorrhage
C) Tachycardia
D) Rebound congestion

zogaridan · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Feedback:
Nutritional deficiencies may impair the function of essentially every body function. Signs and symptoms include unintended weight loss, increased susceptibility to infection, and impaired wound healing. The development of infection and impaired wound healing would require assessment for pain but would not provide evidence of cause. The nurse would not be able to assess genetic tendency. Edema and decreased hemoglobin would not explain the etiology of suffering infections and impaired wound healing.

Answer to Question 2

D
Feedback:
Overuse of nasal decongestants leads to decreased effectiveness (tolerance), irritation and ischemic changes in the nasal mucosa, and rebound congestion. These effects can be minimized by using small doses only when necessary and for no longer than 3 to 5 days. Phenylephrine will not produce reflex bradycardia, mucosal irritation, or tachycardia.