Which finding is not typically associated with inf

Question 1 of 9

Which finding is not typically associated with inflammation in a client?

A. Pain B. Heat C. Polyuria D. Erythema

Correct Answer: C

Rationale: Polyuria is excessive urination and is not a typical assessment finding in inflammation. Inflammation commonly presents with pain (A), heat (B), and erythema (D) which are classic signs of an inflammatory response. Pain results from the release of inflammatory mediators, heat is due to increased blood flow, and erythema is caused by vasodilation and increased blood flow to the area. Polyuria is more likely associated with conditions such as diabetes or renal issues, rather than inflammation.

Question 2 of 9

Which assessment is NOT a nonverbal sing of pain?

A. Decreased attention span B. Grimacing C. Increase in heart rate D. Reported pain of 5/10

Correct Answer: D

Rationale:

Question 3 of 9

Which of the following statements by a client with human immunodeficiency virus (HIV) does NOT requires further teaching?

A. I can spread this through contact with surfaces, so I need to wear gloves in public.' B. Because I have HIV, that means I'm an AIDS patient' C. I need to ensure that I place my needles in a proper needle disposal container.' D. I can still have unprotected intercourse with my partner since he does not have HIV.'

Correct Answer: C

Rationale:

Question 4 of 9

By providing measures to reduce skin breakdown, how does the nurse break the chain of infection?

A. Sterilizing the area to reduce the reservoir risk B. Maintaining the integrity of a portal of entry C. Creating a reservoir to decrease the risk of infection D. Creating a susceptible host

Correct Answer: B

Rationale:

Question 5 of 9

Which among the following is NOT the cause of pressure ulcers?

A. Immobility B. Poor nutrition C. Moisture D. Adequate perfusion

Correct Answer: D

Rationale:

Question 6 of 9

A nurse is caring for an immobile client. What is the priority assessment in this client?

A. Auscultation of lung sounds B. Assessment of skin turgor C. Auscultation of bowel sounds D. Assessment for the presence of peripheral edema

Correct Answer: A

Rationale:

Question 7 of 9

The nurse is providing medication for a client with osteomyelitis. What teaching should the nurse indicate in the education?

A. The most common adverse e effect for nonsteroidal anti-inflammatory drugs (NSAIDS)are liver failure and tinnitus B. The main side effect of acetaminophen is gastrointestinal GI bleeding C. You should not take more than 4000 mg of acetaminophen a day D. Nonsteroidal anti-inflammatory drugs (NSAIDS) are very safe and are known to have no side effects

Correct Answer: A

Rationale:

Question 8 of 9

The client states, "Why am I getting protein supplements while I am healing from a bed sore?"? What is the best response by the nurse?

A. Because it is easy to digest.' B. Protein has amin acid that promotes wound healing.' C. If you do not like it, you do not have to take it.' D. These supplements have nothing to do with your wound,'

Correct Answer: B

Rationale:

Question 9 of 9

A client is in skeletal traction. With the nurse's assessment, it is noted that the pairs appear red, swollen and there is purulent drainage. What action does the nurse take first?

A. Collect a culture of the purulent fluid B. Cleanse the skin around the pins C. Administer an antibiotic D. Instruct the client to complete exercise of the affected extremity

Correct Answer: A

Rationale:

Which finding is not typically associated with inflammation in a client?

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