Which signs and symptoms in a client with a wound infection indicate to the nurse that the infection may have progressed from localized to systemic? Select one that apply.

Questions 46

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Nursing Vital Signs Practice Questions Questions

Question 1 of 5

Which signs and symptoms in a client with a wound infection indicate to the nurse that the infection may have progressed from localized to systemic? Select one that apply.

Correct Answer: A

Rationale: Fever (A) and elevated leukocytes (C) indicate systemic infection. Red wound edges (B) increased pain (D) and purulent exudate (E) are localized signs. Duration (F) alone does not confirm systemic spread.

Question 2 of 5

Medication administered TDS is given how many times a day?

Correct Answer: B

Rationale: TDS (ter die sumendum) means three times a day. Options A C and D represent once twice and four times a day respectively.

Question 3 of 5

When evaluating an elderly client's blood pressure (BP) of 146/78 mmHg

Correct Answer: A

Rationale: Comparing the reading to defined standards (e.g. hypertension guidelines) is the first step to determine if BP is normal or elevated. B C and D are secondary steps after initial evaluation.

Question 4 of 5

Which action ensures that a patient will not have unnecessary pain during a linen change?

Correct Answer: C

Rationale: Administering an analgesic 30-60 minutes prior (C) proactively manages pain, allowing the bed change to proceed safely. Discontinuing (A) or postponing (D) may neglect hygiene needs, and explaining (B) doesn’t address pain directly.

Question 5 of 5

A nurse collaborates with an occupational therapist when providing care for a rehabilitation client. With which activities would the occupational therapist assist the client? (Select one that apply..)

Correct Answer: B

Rationale: Occupational therapists focus on ADLs including dressing (B) .Mobility (A) walker use (C) transferring (D) are typically handled by physical therapists or vocational counselors.

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