descriptive, visual, numeric correct answers What types of self-reporting pain scales are
available to the nurse to help the patients relate their pain?
visual correct answers a type of self-reporting pain scale that asks the patient to identify pain
along a line with word anchors ("No pain" and "Worst pain") on each end:
use the same set of pain scales as other nurses use correct answers How can the nurse achieve the
most consistent interpretation of patient pain ratings?
blood pressure, pulse, respiratory rate correct answers What vital signs may be expected to
change in the patient with acute pain?
grunting, groaning, crying correct answers A patient in acute pain may vocalize their pain in
which ways?
restless, drawn, kicking correct answers The nurse can identify pain in infants through what leg
activity?
constant frown, clenched jaw correct answers Which facial expressions indicate pain in young
children?
moans, grunts, gasps correct answers The nurse is assessing a nonverbal adult. What nonverbal
vocal complaints would indicate pain?
coughing, deep breathing, possibly moving correct answers When assessing a patient's pain, the
nurse should remember that which actions may increase the pain felt?
,wrinkled forehead, grimace correct answers The nurse is examining a patient and identifies a
facial mask of pain. What features characterize this expression?
rubbing, pacing, inability to keep hands still correct answers Which body movements may
indicate pain in a patient?
facial expression, activity, leg movement correct answers What patient characteristics should a
nurse look at when observing an infant for pain?
chronic, acute correct answers What are common classifications of infection based on duration?
lethargy; Persistent lethargy can be a symptom of systemic disease, such as a urinary tract
infection or septicemia. correct answers What is a clinical manifestation of a systemic infection?
localized correct answers type of infection that usually occur in areas of skin and mucous
membrane breakdown, such as surgical and traumatic wounds, pressure ulcers, oral lesions, and
abscesses:
They can cause redness, swelling, warmth, pain, tenderness, drainage, numbness or tingling, and
loss of function to the affected area. correct answers effects of localized infections:
indicates a localized infection. correct answers what does a tooth with an abscess indicate?
chills correct answers A post-surgical patient has a localized infection of the incision. Which
symptom exhibited by the patient may indicate a systemic infection?
can cause fever, increases in heart and respiratory rates, lethargy, anorexia, and tenderness or
enlargement of lymph nodes correct answers what can systemic infections cause?
,chills correct answers ----- are a manifestation of a systemic infection commonly observed with
high fevers.
false. it may indicate a localized infection correct answers true or false: Warmth, redness, and
localized swelling indicates a systemic infection
localized correct answers what type of infection does drainage indicate?
Septicemia correct answers A nurse is caring for a patient with a severe infection whose blood
pressure is 87/42. What does the nurse suspect?
septicemia and sometimes shock correct answers a decreased blood pressure is a late sign of
infection indicating what?
Chronic diseases
Alterations in the immune system
Medications such as chemotherapeutic drugs
Alterations in skin integrity
Malnutrition and dehydration
Indwelling medical devices such as urinary catheters
Lack of proper immunizations correct answers Which conditions place the patient at a higher risk
for infection?
100 correct answers The WBC count differential is the proportion of each type of WBC out of
----- cells.
Number of RBCs, WBCs, platelets, and reticulocytes correct answers what does a Complete
blood count (CBC) measure?
, Finds cause of infection and antibiotic treatment correct answers what does a Culture and
sensitivity (C&S) measure?
Determines number of each type of WBC correct answers what does a Differential white blood
count (WBC) measure?
Measures degree of inflammation in the body correct answers what does a Erythrocyte
sedimentation rate (ESR) measure?
communicable correct answers infants are at a higher risk for developing what kind of diseases?
loss of elasticity, decreased blood supply, increase in dryness correct answers What skin changes
in older adults puts them at a higher risk for skin infections?
respiratory, skin, UTIs correct answers The nurse is preparing discharge instructions to a newly
paralyzed young man about high-risk conditions that can occur as a result of immobility. Which
of these conditions should the nurse include in her teaching?
culture correct answers A couple informs the nurse that they do not believe in taking their
newborn child to see a health care provider until the age of three. Which diversity consideration
is the couple demonstrating?
systemic correct answers flu s considered what type of infection?
localized infection correct answers A swollen, red cuticle is specific to an area (skin) and
indicates what?
disability, gender correct answers Which factors increase the risk of an individual catching an
infection?