A client has had an uncomplicated repair of an inguinal hernia. On the second post- operative day, the client has mildly elevated temperature and general malaise. The nurse recognizes that this is a generalized body response which is common to which phase of healing?
Inflammatory
Proliferation
Remodeling
Infection
The Correct Answer is A
Choice A rationale: An inflammatory response, including mild fever and malaise, is common during the inflammatory phase of healing, which occurs in the initial postoperative period.
Choice B rationale: Proliferation is the phase of healing characterized by tissue repair and regeneration, not by fever and malaise.
Choice C rationale: Remodeling is the final phase of healing involving tissue maturation and strengthening, not associated with generalized body responses.
Choice D rationale: Infection is a separate complication and may present with more severe symptoms than mild fever and malaise.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: Pulling the auricle up and back is the correct procedure for adults when administering ear drops.
Choice B rationale: Having the client pull down on the earlobe is not the correct procedure for administering ear drops in adults.
Choice C rationale: Pulling the auricle up and back is the appropriate technique for adults to straighten the ear canal for proper administration.
Choice D rationale: Warming ear drops in the microwave is not recommended; medications should be administered at room temperature.
Correct Answer is A
Explanation
Choice A rationale: Restlessness, confusion, and tachycardia are early signs of hypoxia, indicating inadequate oxygenation.
Choice B rationale: Bradycardia, dyspnea, and cyanosis are more indicative of advanced hypoxia.
Choice C rationale: Hypotension, vomiting, and cyanosis may suggest severe hypoxia or other medical issues but are not typically early signs.
Choice D rationale: Bradycardia, lethargy, and confusion are not typical early signs of hypoxia.
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