Quiz 21: Inflammation

Concepts For Nursing Practice

Nursing
7
Questions
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True/False
6
Choices
1
Essay
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Questions

Q1
Free

A nurse is instructing her patient with ulcerative colitis regarding the need to avoid enteric coated medications. The nurse knows that the patient understands the reason for this teaching when he states which of the following?

Multiple Choice
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A) The coating on these medications is irritating to my intestines.
B) I need a more immediate response from my medications than can be obtained from enteric coated medications.
C) Enteric coated medications are absorbed lower in the digestive tract and can be irritating to my intestines or inadequately absorbed by my inflamed tissue.
D) I dont need to use these medications because they cause diarrhea, and I have had enough trouble with diarrhea and rectal bleeding over the past weeks.
Answer:
C) Enteric coated medications are absorbed lower in the digestive tract and can be irritating to my intestines or inadequately absorbed by my inflamed tissue.

Explanation:

Enteric coatings on medications are designed to prevent breakdown and absorption of the medication until lower in the digestive tract, usually to prevent stomach irritation or to reach a certain point in the digestive tract for optimal absorption. For the patient with ulcerative colitis, the intestinal lining is inflamed or susceptible to inflammation and can have impaired absorption; therefore, enteric coated medications should be avoided. The coating is not irritating, but the medication can be. The response time of the medication is not a concern in this instance. Enteric coated medicines do not cause diarrhea simply because they are enteric coated.

Q2
Free

A patient is diagnosed with a sprain to her right ankle after a fall. The patient asks the nurse about using ice on her injured ankle. The nurse should tell the patient that

Multiple Choice
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A) she should use ice only when the ankle hurts.
B) ice should be applied for 15 to 20 minutes every 2 to 3 hours over the next 1 to 2 days.
C) she should wrap an ice pack around the injured ankle for the next 24 to 48 hours.
D) ice is not recommended for use on the sprain because it would inhibit the inflammatory response.
Answer:
B) ice should be applied for 15 to 20 minutes every 2 to 3 hours over the next 1 to 2 days.

Explanation:

Ice is used on areas of injury during the first 24 to 48 hours after the injury occurs to prevent damage to surrounding tissues from excessive inflammation. Ice should be used for a maximum of 20 minutes at a time every 2 to 3 hours. Ice must be used according to a schedule for it to be effective and not be overused. Using ice more often or for longer periods of time can cause additional tissue damage. Ice is recommended to inhibit the inflammatory process from damaging surrounding tissue.

Q3
Free

A patient is being treated with an antibiotic. The nurse explains to the patient that this medication is required for the reduction of inflammation at the injury site because this medication

Multiple Choice
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A) will decrease the pain at the site.
B) helps to kill the infection causing the inflammation.
C) inhibits cyclooxygenase.
D) will reduce the patients fever.
Answer:
B) helps to kill the infection causing the inflammation.

Explanation:

Antimicrobials treat the underlying cause of the infection which leads to inflammation. Analgesics and nonsteroidal antiinflammatory drugs (NSAIDs) help to treat pain. NSAIDs and other antipyretics are cyclooxygenase inhibitors. Antipyretics help to reduce fever.

Q4

On admission to the clinic, the nurse notes a moderate amount of serous exudate leaking from the patients wound. The nurse realizes that this fluid

Multiple Choice
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A) contains the materials used by the body in the initial inflammatory response.
B) indicates that the patient has an infection at the site of the wound.
C) is destroying healthy tissue.
D) results from ineffective cleansing of the wound area.
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Q5

The nurse reviews the patients complete blood count (CBC) results and notes that the neutrophil levels are elevated, but monocytes are still within normal limits. This indicates _____ inflammatory response.

Multiple Choice
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A) chronic
B) resolved
C) early stage acute
D) late stage acute
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Q6

A patient comes to the clinic with a complaint of painful, itchy feet. On interview, the patient tells the nurse that he is a college student living in a dormitory apartment that he shares with five other students. The nurse plans to teach the patient to

Multiple Choice
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A) not eat with the other students.
B) avoid sharing razors and other personal items.
C) have his CBC checked monthly.
D) disinfect showers and bathroom floors weekly after use.
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Q7

[Multiple Response] The nurse assesses the patient and notes all of the following. Select all of the findings that indicate the systemic manifestations of inflammation.
a. Oral temperature 38.6 C/101.5 F
b. Thick, green nasal discharge
c. Patient complaint of pain at 6 on a 0 to 10 scale on palpation of frontal and maxillary sinuses
d. WBC 20 109/L
e. Patient reports, Im tired all the time. I havent felt like myself in days.

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