PrepU ch. 3

A client has experienced an acute inflammatory response with an elevation of white blood cells. The nurse is reviewing the client's most recent lab results to determine if the counts have returned to a normal range. Select the result that suggests the client is now within normal range. - 4000 to 10,000 cells/μL - 14,000 to 20,000 cells/μL - 1000 to 3000 cells/μL - 1500 to 20,000 cells/μL

4000 to 10,000 cells/μL

A nurse reading a sigmoidoscopy report notes that a client was found to have skip lesions. The nurse interprets this as an indication of: - Crohn's disease - Ulcerative colitis - peptic ulcer - Zollinger-Ellison syndrome

Crohn's disease

The nurse has just finished teaching a client newly diagnosed with rheumatoid arthritis about the disease. The nurse determines that teaching is effective when the client makes which statement? - Rheumatoid arthritis includes joint involvement that is usually symmetric and polyarticular. - Rheumatoid arthritis is a chronic autoimmune system disease that affects a single joint. - only upper extremity diarthrodial joints can be involved. - the disease will not fluctuate in occurrence.

Rheumatoid arthritis includes joint involvement that is usually symmetric and polyarticular.

Which client likely faces the greatest risk of a gastrointestinal bleed? - a client whose hypertension requires taking a diuretic, an ACE inhibitor, and a beta-adrenergic blocker. - a client who is taking a broad spectrum antibiotic to treat a UTI. - a client with a history of anxiety who takes benzodiazepines several times daily. - a client who takes aspirin with each meal to control symptoms of osteoarthritis.

a client who takes aspirin with each meal to control symptoms of osteoarthritis

A 79-year-old woman reports a recent onset of "nearly constant heartburn." During the assessment interview, she states that she has "lots of aches and pains." She states that she is not on any prescription medications but often takes aspirin for pain. The nurse should suspect what diagnosis? - H. pylori infection. - gastric cancer - acute gastritis - staphylococcal infection

acute gastritis

which condition is an example of wound healing by secondary intention? - an infected burn of the arm. - abdominal wound w/ staples. - leg laceration w/ sutures. - sacral skin tear closed w/ steri-strip

an infected burn of the arm

Crohn disease is recognized by sharply demarcated, granulomatous lesions that are surrounded by normal-appearing mucosal tissue. The nurse recognizes these lesions to be defined by which description? - mosaic - pyramidal - cobblestone - triangular

cobblestone

A client underwent an open cholecystectomy 2 days ago, and the incision is now in the proliferative phase of healing. What is the dominant cellular process that characterizes this phase of the client's healing? - hemostasis - keloid formation - collagen secretion by fibroblasts - phagocytosis by neutrophils

collagen secretion by fibroblasts

Pharmacologic treatment for peptic ulcers has changed over the past several decades. The nurse knows that the goal for pharmacologic treatment is focused on: - increasing acid production - neutralizing blood count - promoting special diet. - eradicating H. pylori

eradicating H. pylori

The nurse is teaching her client with hepatobiliary disease about her diet. She tells her that she may have steatorrhea, which is the malabsorption of which dietary component? - fat - starch - protein - calcium

fat

Inflammation can be either local or systemic. What are the most prominent systemic manifestations of inflammation? - fever, leukocytosis or leukopenia, and the acute phase response - fever, leukocytosis or leukopenia, and the transition phase response - widening pulse pressure, thrombocytopenia, and the recovery phase response - widening pulse pressure, thrombocytopenia, and the latent phase response

fever, leukocytosis or leukopenia, and the acute phase response

A nurse is teaching a client diagnosed with Crohn disease about potential complications. The most appropriate information for the nurse to include would be: - fistula formation - chronic constipation - excessive weight gain - difficulty swallowing

fistula formation

An older adult client has had mobility and independence significantly impaired by the progression of rheumatoid arthritis (RA). What is the primary pathophysiologic process that has contributed to this client's decline in health? - a mismatch between bone resorption and remodeling. - immunologically mediated joint inflammation. - excessive collagen production and deposition. - cytokine release following mechanical joint injury.

immunologically mediated joint inflammation

a client is experiencing the early stages of an inflammatory process and develops leukocytosis. The nurse recognizes this as a/an: - increase in cell production - increase in circulating neutrophils. - decrease in blood supply to the affected area. - decrease in eosinophils at the tissue injury site.

increase in circulating neutrophils

The nurse is evaluating the bloodwork results of a client with an infected leg ulcer. The white blood cell count is 18,000 cells/uL. The nurse interprets this as: - leukocytosis. - lymphocytosis. - neutropenia. - lymphadenitis.

leukocytosis

Crohn disease not only affects adults but also can occur in children. The nurse assesses for which major manifestation in children with Crohn disease? - dental caries - halitosis - malnutrition - weight gain

malnutrition

The nurse reviews the endoscopy report for a client diagnosed with ulcerative colitis. Which finding is in the report? - mucosal erythema. - cobblestone pattern to the mucosa. - alternating affected and unaffected areas of inflammation. - interior surface thickening of the bowel surface.

mucosal erythema

The nurse caring for a postoperative client documents that the surgical incision is healing by: - primary intention - secondary intention - tertiary intention - systemic intention

primary intention

The nurse is assessing the wound of a postoperative client. The client has a 6-inch abdominal wound that is well approximated and closed with surgical suture. The wound does not display any redness or drainage. The nurse would document the healing process as: - primary intention - secondary intention - tertiary intention - progressive intention

primary intention

a client is admitted to the hospital with first and second degree burns. Which assessment findings are associated with first degree burn? Select all that apply: - full-thickness burn - red or pink - wet - painful

red or pink, painful

A diabetic client has injured his foot while walking barefoot on the lawn. On admission, which assessment finding would be considered a localized cardinal sign of acute inflammation? - temperature of 101F. - fatigue with listlessness. - redness and edema at the injured site. - urine output of less than 500 mL/24 hrs (low)

redness and edema at the injured site

The nurse is caring for a client with psoriasis. What information about psoriatic arthritis does the nurse provide to the client? Select all that apply. - It is a relatively rare complication, affecting less than 10% of people with psoriasis. - Using disease-modifying drugs for the psoriasis can help control arthritis symptoms. - The presentation can vary widely in affected joints and associated symptoms. - Avoid taking nonsteroidal anti-inflammatory drugs for any associated joint pain. - Psoriatic arthritis is similar to rheumatoid arthritis but the joint damage is more severe.

relatively rare complication, using drugs can help, and the presentation can vary widely

After many years of cigarette smoking, a client is admitted to have a "mass" removed from the lung. When explaining the surgery and recovery, the physician notes that the client is likely to have a good amount of fibrosis develop at the surgical area. After the physician leaves the room, the client asks the nurse what was meant by "fibrosis" in the lung. The nurse bases the response on the fact that tissue repair can: - result with injured cells being replaced with cells of the same type. - result in replacement tissue in the form of connective (fibrous) tissue, which leads to scar formation or fibrosis of the lung. - form an extracellular matrix (like a web), which is composed of connective tissue that ends up being scar tissue at the surgical site. - be slowed in an aging adult, and therefore may end up with part of the scar not being able to perform its normal function

result in replacement tissue in the form of connective (fibrous) tissue, which leads to scar formation or fibrosis of the lung.

The nurse is caring for a client with a partial-thickness burn of 8% total body surface area (TBSA). Which level of care will the client receive? - inpatient specialty care. - inpatient non-specialty care. - outpatient wound clinic. - self-care at home

self-care at home

When caring for a client with a wound that is healing by primary intention, the nurse recognizes which characterization best describes this type of wound? - burn injury. - surgical incision. - abscess. - fibrin clot (scab).

surgical incision