Davis - Inflammation and Wound Healing Chapter 9: (Unit 2)
A nurse is speaking to parents prior to their child's abdominal surgery. Which of the following presents the most risk for healing of the surgical wound? 1. Infection 2. Poor nutritional status 3. Not enough ultraviolet (UV) light 4. Limited activity
1
A patient exposed to elevated levels of pyrogens will likely present with which of the following? 1. fever 2. edema 3. Immunosuppression 4. contracture
1
A patient is recovering from ankle surgery and states that his ankle "feels stuck" when he tries to move into some positions. The nurse is worried that the continued decreased mobility may be because of which of the following developments? 1. Adhesions 2. Primary intention 3. Keloid formation 4. Fistula
1
A nursing educator is explaining that a patient has presented with granulomas in the lungs. Which of the following would show correct understanding by the students? Select all that apply. 1. Granulomas are histological changes in which macrophages aggregate and transform to epithelial-like cells. 2. The patient is demonstrating immunosuppression. 3. The patient may have tuberculosis. 4. The patient has developed a pulmonary adhesion. 5. The patient is demonstrating an acute inflammatory event.
1, 3
A nurse is looking at a microscope slide of stained white blood cells. Which cells will show granules with staining? 1. Neutrophil 2. Monocyte 3. Macrophage 4. Eosinophil 5. Basophil
1, 4, 5
A clinician is reviewing white blood cell (WBC) differential results. The clinician states that the patient must be suffering an acute bacterial infection. Which of the following results did the clinician observe? 1. Increase in neutrophil levels 2. Increase in lymphocyte levels 3. Increase in basophil levels 4. Increase in monocyte levels 5.Increase in polymorphonuclear (PMN) cell levels
1, 5
Which of the following are enzymes that produce prostaglandins from arachidonic acid? 1. Cyclooxygenase 1 2. Lipoxygenase 3. TNF-alpha 4. Interleukin-1 5. Cyclooxygenase 2
1, 5
A complication of Crohn's disease, a disorder of the gastrointestinal tract, is fistula formation. Because of this complication, what development may the nurse expect? 1. A narrowing of the colon lumen 2. An abnormal connection between the bowel and other tissues 3. A growth adhering two portions of the colon together 4. Rupture and prolapse of the colon Rationale: A fistula is not associated with rupture of a tissue.
2
A patient's wife hears the physician mention "right upper extremity lymphadenopathy." She asks the nurse what that may mean. Which of the following is an appropriate answer? 1. "the patient has an infection in the right arm" 2. "the patient has swollen lymph nodes in the right arm." 3. "The patient has cancer in the right arm." 4. "the patient has problems with the adenoids, or tonsils."
2
A nurse is explaining a tertiary intention healing to a patient. Which of the following characteristics are correct for the nurse to include in her explanation? 1. Common post-surgical wound 2. May require temporary packing with sterile gauze 3. May be left open for 4 to 5 days 4. May have extensive drainage 5. Wound that forms with stitching of incisions
2, 3, 4
A clinician needs to know whether an infection is viral and wants to see whether lymphocyte levels are elevated. Which test would provide the information the clinician needs? 1. complete blood count (CBC) 2. white blood count (WBC) total 3. WBC differential 4. prothrombin time (PT)
3
Which of the following statements is true for the accompanying image? 1. This shows a wound type that is difficult to heal 2. This shows a wound dehiscence 3. This shows primary intention healing 4. This shows granuloma formation
3
A nurse explains to the parents of a young child with severe skin injury that the best course of action is to leave the would open for 4 - 5 days before closure. What type of skin would is the nurse likely describing? 1. contracture 2. primary intention 3. secondary intention 4. tertiary intention
4
A patient is given an antipyrogenic medication. Which of the following explains the purpose of the medication? 1. reduce edema 2. block pain signals 3. decrease inflammation 4. reduce fever
4
Which of the following is indicative of a pyrogenic response? 1. body temerature of 35.0 C 2. Body temperature of 37.0 C 3. Body temperature of 37.5 C 4. Body temperature of 39.0 C
4