Week 6: Inflammation

"I can eat foods high in fat now that the acute stage is over."

Discharge planning for a client with chronic pancreatitis includes dietary teaching. Which statement indicates the the nurse that the client needs more teaching?

Lowered level of consciousness

The client had a craniotomy for excision of a brain tumor. After surgery, the nurse monitors the client for increased intracranial pressure. Which clinical finding supports an increase in intracranial pressure?

In the morning on awakening

The nurse is caring for a client with rheumatoid arthritis. When should the nurse expect the client to experience the most pain and limited movement of the joints?

Instructing the client to drink at least 3L of fluid daily

The nurse is caring for a client with ureteral colic. To prevent the development of renal calculi in the future, which strategy should be included in the clients plan of care?

The child needs to be seen immediately by a healthcare provider

The parents of a 4-year-old child call the health care 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?

Positive antistreptolysin titer

What findings should a nurse expect when examining the laboratory report of a preschooler with rheumatic fever?

Red

What is the color of a clients wound caused by skin tears?

Nevi Nevi (moles) are hyperpigmented areas that vary in form and size. Nevi are a common benign condition of the skin that is associated with the grouping of normal cells derived from melanocyte-like precursor cells

Which benign condition of the clients skin is associated with the grouping of normal cells derived from melanocyte-like precursor cells?

-Which benign condition shows silver scaly plaques on the skin? A silver scaly plaque on the skin is due to psoriasis and is most commonly seen on the elbows and scalp.

Which benign condition shows silver scaly plaques on the skin?

8-year-old boy

Which child is at the highest risk for blunt trauma associated with the indirect entry (hematogenous stage) of microorganisms?

Incontinence and inability to move independently.

Which client responses dose the nurse determine represent the highest risk for the development of the pressure ulcers?

-Asthma -Hay fever

Which condition may result form immunoglobulin IgE antibodies on mast cells reacting with antigens?

Filgrastim

Which cytokine medication is administered to treat chemotherapy-induced neutropenia?

Isotretinoin

Which drug is prescribed for the client to treat severe nodulocystic acne?

Isotretinoin Isotretinoin passes through the placental barrier and exhibits teratogenic effects, so it is contraindicated in pregnancy.

Which drug is used to treat acne vulgaris in adolescents but is contraindicated in pregnancy due to its teratogenic effects?

Truvada

Which is the first medication approved to reduce the risk of HIV infection in unaffected individuals?

Moisture-retentive dressing

Which technique would the nurse describe as promoting autolysis in the spontaneous separation of necrotic tissue?

Allergic contact dermatitis

Which type of allergic condition of the skin manifests on the client as delayed hyper sensitivity?

Acoustic neuroma

Which type of brain tumor can originate from cells that form from the myelin sheath around nerves?

-Atopic dermatitis It is an allergic skin condition that is a genetically influenced, chronic, relapsing disease. It is associated with immunologic irregularity involving inflammatory mediators associated with allergic rhinitis and asthma

With type of allergic skin condition in a client is associated with immunological irregularity, asthma, and allergic reaction?

Formation of granulation tissue

A clients wound is healing. Which even occurs in the proliferative phase of wound healing?

The existence of allergies

Before a client with syphilis can be treated, what should be determined?

-Although the medication decreases intestinal inflammation, it will not cure the colitis. Prednisone inhibits phagocytosis and suppresses other clinical phenomena of inflammation; this is a symptomatic treatment that is not curative.

Prednisone is being prescribed for a client with an exacerbation of colitis. What does the nurse teach the client before administering the first dose?

Cystitis

A client arrives at a health clinic reporting hematuria, frequency, urgency, and pain on urination. Which diagnosis will the nurse most likely observe written in the clients medical record?

Esophageal pain may imitate the symptoms of a heart attack

A client has a history of gastroesophageal reflux disease (GERD). Why should the nurse also monitor the client for clinical manifestations of heart disease?

Prolonged exposure to noise

A client has sensorineural hearing loss. Which finding in the clients history will alert the nurse to the most likely cause of the sensorineural hearing loss?

Migration of leukocytes to the site of injury

A client sustained minor skin injuries following an accident. Which event occurs close to the time of injury?

Disturbances in hearing

A client with arthritis is taking large doses of aspirin. What symptom dose the nurse include when teaching the client about the clinical manifestations of aspirin toxicity?

For most clients, surgery is recommended only if nonsurgical treatments have not bee successful

A client with colitis inquires as to whether surgery eventually will be necessary. When teaching about the disease and its treatments, what should the nurse emphasize?

to treat Helicobacter pylori infection.

A client with gastric ulcer asks the nurse why the health care provider has prescribed metronidazole. What purpose does the nurse provide?

Taking a hot tub bath or shower in the morning

A client with rheumatoid arthritis asks the nurse about ways to decrease morning stiffness. What should the nurse suggest?

Disability

A group of clients is admitted with neurologic injury after hiking at high altitude. The nurse assessing using the "AVPU" mnemonic. Which type of emergency assessment is the nurse performing?

Histamine

A nurse is caring for a client with pruritic lesions from an IgE-mediated hypersensitivity reaction. Which mediator of injury is involved?

Ulnar drift

A nurse is preforming an admission health history and physical assessment for a client who has severe rheumatoid arthritis. When assessing the clients hands, the nurse identifies that they similar the the hand in the illustration. What should the nurse document in the medical record when describing this typical physiologic change associated with rheumatoid arthritis?

Bronchial constriction and decreased peripheral resistance

After multiple bee stings, a client experiences an anaphylactic reaction. The nurse determines that the symptoms the client is experiencing are caused by what processes?

Redness of the eardrum

After preforming an otoscopic examination on a client who report a decrease in hearing acuity, the primary healthcare provider diagnoses the condition as otisis media. Which assessment finding supports the diagnosis?