EAQ Inflammation
A client admitted to the hospital with an acute episode of rheumatoid arthritis (RA) asks why physical therapy has not been prescribed. What is the most appropriate nursing response?
"Your joints are still inflamed and physical therapy can be harmful."
A prescription is written for famotidine 20 mg intravenous piggyback (IVPB) every 12 hours. The vial is labeled 10 mg/1 mL. How many milliliters should the nurse administer? Record the answer using a whole number. _______ mL.
2
Colchicine 1200 mcg orally is prescribed for client with gout. Each tablet contains 0.6 mg. How many tablets should the nurse administer? Record your answer using a whole number. _____
2
A 7-year-old child with juvenile idiopathic arthritis has difficulty getting ready for school in the morning because of joint pain and stiffness. Which recommendation should the nurse make to the family?
Provide warm, moist heat to the affected joints before arising.
Which physical agents trigger inflammatory response? Select all that apply.
Radiation Temperature Mechanical Trauma
An 18-year-old is admitted with an acute onset of right lower quadrant pain at McBurney's point. Appendicitis is suspected. For which clinical indicator should the nurse assess the client to determine if the pain is secondary to appendicitis?
Rebound tenderness
Which conditions may result from immunoglobulin IgE antibodies on mast cells reacting with antigens? Select all that apply.
Asthma Hay Fever
Which foods rich in vitamin C act as dietary supplement for wound healing? Select all that apply.
Broccoli Cabbage Strawberries
A nurse is caring for a 9-year-old child with juvenile idiopathic arthritis (JIA). What is most important for the nurse to attempt to prevent?
Contracture deformities
A client arrives at a health clinic reporting hematuria, frequency, urgency, and pain on urination. What does the nurse suspect is the cause of these signs and symptoms?
Cystitis
A nurse is caring for a client who had a kidney transplant. What sign indicates that the client may be rejecting the transplanted kidney?
Fever
Which phase produces an irregular purplish immature scar?
Reconstruction
A nurse assesses a newly admitted client with renal colic to determine the signs and symptoms that are present. The nurse assesses the client for which primary subjective symptom?
Flank discomfort
Which process involves replacing dead and decomposed tissue with fresh collagen tissue?
Granulation
Which phase of wound healing involves adherence of blood platelets to the walls of an injured vessel?
Hemostasis
A client experiences an acute episode of rheumatoid arthritis. The nurse observes that the client's finger joints are swollen. What does the nurse conclude that this swelling is most likely related to?
Inflammation in the joint's synovial lining
A nurse is caring for a child with acute lymphoid leukemia who is undergoing chemotherapy. The parents ask why the child needs prednisone. How should the nurse respond?
It decreases inflammation
Prednisone (Meticorten), an adrenal steroid, is prescribed for a client with an exacerbation of colitis. When administering the first dose of the medication, the nurse should inform the client about what about the medication?
It is not curative but does cause a suppression of the inflammatory process
A client with arthritis, "Can I take Tylenol instead of aspirin? Aspirin irritates my stomach." The nurse explains what about acetaminophen (Tylenol)?
It lacks an anti-inflammatory action
A client sustained minor skin injuries following an accident. Which event occurs close to the time of injury?
Migration of leukocytes to the site of injury
A client with colitis has had a hemicolectomy. Three days after surgery the nurse identifies that the client has abdominal distention and absent bowel sounds, and has vomited 300 mL of dark green viscous fluid. The nurse contacts the primary healthcare provider and recommends which intervention?
Nasogastric tube for decompress
A 3-year-old boy in respiratory distress is treated in the emergency department. A diagnosis of acute spasmodic laryngitis is made. At the time of discharge, the mother asks how to handle another attack at home. What should the nurse recommend?
Placing him near a cool-mist humidifier
The parents of a 4-year-old child call the health center and report that their child has a fever of 102.6° F (39.2° C), is complaining of a sore throat, and will not lie down, preferring to sit up and lean forward. The child is drooling and looks ill and agitated. In light of this information, what guidance should the nurse provide the family?
The child needs to be seen immediately by a health care provider.
A client with gastric ulcer disease asks the nurse why the health care provider has prescribed metronidazole. What purpose does the nurse provide?
To treat Helicobacter pylori infection
Which statement is true regarding ulcerative colitis?
Ulcerative colitis may cause rectal bleeding and abdominal cramping.
