AND ANSWERS WITH COMPLETE SOLUTIONS GRADED A++
The nurse is caring for a patient with inflammation.
Which independent nursing intervention should the nurse implement to prevent
further injury?
Preventing exposure of the inflamed area to water while bathing
Encouraging a low-fiber diet
Restricting fluids
Encouraging the patient to resume normal activity as soon as possible
Preventing exposure of the inflamed area to water while bathing
A patient with symptoms of inflammation asks what an erythrocyte sedimentation
rate (ESR) blood test is.
How should the nurse respond to the patient?
"The test indicates if you have inflammation by measuring the speed at which a
red blood cell settles in a test tube."
"The test indicates if you have anemia by measuring the number of red blood
cells in a milliliter of blood."
"The test merely counts the number of red blood cells that line an injured vessel."
, "The test indicates if you have inflammation by determining the speed in which a
red blood cell destructs in a test tube."
"The test indicates if you have inflammation by measuring the speed at which a red
blood cell settles in a test tube."
A patient with inflammation that is affecting oxygenation asks why a heart
monitor has been applied.
Which response by the nurse is accurate?
"A problem with oxygenation sometimes causes heart arrhythmias."
"The monitor will let us keep track of your blood pressure and heart rate."
"Inflammation sometimes causes your heart to slow down."
"The monitor will give us information on how well you are responding to
treatment."
"A problem with oxygenation sometimes causes heart arrhythmias."
A patient is being treated for anaphylaxis.
Which process should the nurse recall that occurs in anaphylaxis?
Release of heparin and histamine
Rapid release of inflammatory mediators
Leukocytes lining up within the injured vessels
Damaged tissue replacement by other cells
Rapid release of inflammatory mediators