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NUR 326 ( LATEST 2024 / 2025 ) EXAM 9 | GRADED A+ QUESTIONS & ANSWERS
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NUR 326 ( LATEST 2024 / 2025 ) EXAM 9 | GRADED A+ QUESTIONS & ANSWERS
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NUR 326 Exam 91. Ya'll I am dying.We literally just had an exam on thursday. I DONT HAVETIME FOR THIS
Answer
RIP us
2. True or false
Inflammation is always associated with infection.
Answer
False!
3. An immunologic defense against tissue injury, infection, or allergy.
Answer
Inflam- mation
4. What are the three populations at greatest risk for an ineffective inflamma- tory response?
Answer
1. Very young
2. Very old
3. Uninsured
5. Which of the following patients' is at the greatest risk for a severe of ineffective
inflammatory response?
a. A 28-year-old female with hypertension following a colonoscopy.
b. A 35-year-old male with heart disease with a chief complaint of chest pain.
c. An 82-year-old female who is post-operative for an appendectomy.
d. A 53-year-old male with chronic COPD who states he has difficulty breath- ing.
Answer
C
6. List 8 common symptoms of inflammation.
Answer
1. Swelling
2. Pain
3. Heat
4. Redness
5. Presence of exudate
6. Fever
7. Malaise
,8. Fatigue
7. You are a nurse caring for an 82-year-old female who is 6 days postoperative for an
appendectomy. She comes into your clinic complaining of pain at the surgical site.You assess
the wound site and find that is it red, swelling, warm, and exudate is seen at the wound site.
Which of the following lab tests would you suspect the physician to order to rule out infection?
a. Colonoscopy
b. Electrolyte status
c. WBC with differential
d. Hemoglobin A1c
Answer
C
8. What are four things you can do to reduce inflammation after a sprain, strain, or trauma?
Answer
RICE
Rest
Ice Compression Elevation
9. What time period after an injury is RICE most beneficial?
Answer
24-48 hours after
10. How long should you ice an inflamed injury? How often?
Answer
20 minutes every 2 or 3 hours as indicated
11. Should you put an ice pack directly on an inflamed injury?
Answer
No! You should wrap the ice pack in a towel to prevent further tissue injury.
12. What should you monitor after applying a compression device to an injury?
Answer
Monitor for impaired circulation such as cool fingers or toes, tingling, or turning blue in color.
13. How high is "high enough" when elevating an extremity?
Answer
Elevation of the injured area should be about the level of the heart to minimize swelling
14. List some pharmacological interventions for managing inflammation.
,Answer
1. Steroids
2. NSAIDs
3. Antipyretics
4. Analgesics
5. Antimicrobials
15. The nurse is completing an admission assessment of a new patient to the unit. The nurse
notes a long, thin, fading scar on the patient's abdomen in the right lower quadrant. What is the
best explanation for the scar's appearance?
a. Optimal functioning of the inflammatory process after an injury
b. Fibrous tissue replacing damaged tissue when injury is extensive
c. The development of chronic inflammation
d. A surgical incision
Answer
B (Scar tissue, or fibrous repair of damaged tissue, occurs when an area is damaged too
extensively for the body to replace damaged tissue with identically functioning tissue after
removal of injurious agents and pathogens. Optimal functioning of the inflammatory process
will result in regeneration of tissue that functions identically to the damaged and replaced tissue.
Chronic inflammation can result in fibrous, or scar, tissue, but that scar tissue production is
continuous as the inflammation continues. Fibrous tissue production can result from many
different kinds of injuries, not just surgical wounds.)
16. A patient comes to a clinic with a chief complaint of, "My left arm is red and swollen. It
hurts badly enough that I couldn't go to work today." The
physician orders computer-assisted tomography (CT) scanning of the left upper extremity. The
nurse knows the patient understands the reason for the procedure when he states
a. "I need to have this done because my arm is broken."
b. "The doctor wants me to have this so that the pain will stop."
c. "This will tell you what I did to my elbow because I really don't know what happened."
d. "This test will help to better determine where the injury actually is and how severe it is."
Answer
D (Radiographic imaging studies such as CT scans help to determine the location and extent of
inflammation within the body. The CT scan will help with diagnosis. The diagnosis is not
, predetermined. CT scanning does not alleviate pain. Radiography does not necessarily determine
a cause of an injury.)
17. Which of the following patients is at higher risk for inflammatory reac- tions?
a. 2-year-old girl with a healthy diet
b. 38-year-old man who is obese
c. 54-year-old woman in menopause
d. 79-year-old man with diabetes
Answer
D (The 79-year-old man is at highest risk for inflammatory reactions among these patients for
two reasons, his age and having diabetes.The risk would be high during the first year of life, but
this 2-year-old girl has gotten beyond this risk period and she also has the positive factor of a
healthy diet. The 38-year-old man is not in a high-risk category because of age but is because of
obesity. Although a 54-year-old woman is getting older, being in menopause does not increase
the risk for inflammatory reactions.)
18. The nurse is reviewing the erythrocyte sedimentation rate (ESR) of a patient to determine
which significant finding?
a. Determines specific causes of inflammation
b. Identifies the location of inflammation within the body
c. Confirms the nonspecific presence of inflammation
d. Indicates a diagnosis of systemic lupus
Answer
C (An elevated ESR is indicative of the presence of inflammation in the body. Proteins produced
during the inflammatory process adhere to red blood cells, causing them to be heavier and settle
out of blood samples at a faster rate than normal. The ESR does not identify specific causes of
inflammation and does not determine a specific location of inflammation. The ESR is a
nonspecific indicator of inflammation.)
19. A patient admitted to an acute care floor has rubor of an area of injury on the left lower
extremity.The nurse understands that this redness is caused by
a. vasodilation.
b. extravasation.
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