A patient has presented to the emergency department after ...

[kodithompson]

A patient has presented to the emergency department after suffering a severe laceration to his hand in a workplace accident. During the subsequent process of acute inflammation, what physiological event took place first?
 
  A) The patient's B cells produced antibodies.
  B) The patient's blood vessels constricted.
  C) Neutrophils migrated to the injury site.
  D) Opsonization occurred.

Question 2

A nurse has administered a scheduled dose of naproxen to a hospital patient who has been taking the drug for several weeks.
 
  What assessment finding should cause the nurse to suspect that the patient is experiencing adverse effects of this drug treatment? A) There is an increase in the patient's neutrophils but no increase in temperature.
  B) The patient's stool tests positive for occult blood.
  C) The patient complains of itchy, dry skin.
  D) The patient has peripheral edema and there is a steady increase in the patient's weight.

[abctaiwan]

Answer to Question 1

B
Feedback:
The process of acute inflammation occurs in three stages. The first stage is the vascular stage; notable changes occur in the small blood vessels at the site of the cellular and tissue injury. At the time of the injury, vasoconstriction results, followed by vasodilation of the capillaries and venules to increase capillary blood flow, increasing temperature and redness at the site. Opsonization, neutrophil migration, and antibody production take place in later stages of inflammation.

Answer to Question 2

B
Feedback:
GI bleeding is a significant adverse effect of naproxen. This drug does not typically cause leukocytosis, dry skin, or fluid imbalances.

[kodithompson]

Gracias!

[yeungji]

Thanks for the timely response, appreciate it