A nurse is caring for a client who has an infected surgical wound on his abdomen. The nurse notes that the wound has redness, warmth, swelling, pain, and purulent drainage. The nurse recognizes these findings as indicative of what stage of inflammation?

Choice A reason:

Decreased hematocrit is an indicator of improvement for a client who has hypovolemia and is receiving IV fluid therapy. Hematocrit is the percentage of red blood cells in the blood. Hypovolemia causes hemoconcentration, which increases the hematocrit level. IV fluid therapy restores the blood volume and dilutes the red blood cells, which decreases the hematocrit level.

Choice B reason:

Increased urine specific gravity is not an indicator of improvement for a client who has hypovolemia and is receiving IV fluid therapy. Urine specific gravity is a measure of the concentration of solutes in the urine. Hypovolemia causes dehydration, which increases the urine specific gravity. IV fluid therapy rehydrates the body and lowers the urine specific gravity.

Choice C reason:

Decreased central venous pressure is not an indicator of improvement for a client who has hypovolemia and is receiving IV fluid therapy. Central venous pressure is a measure of the pressure in the right atrium and vena cava. Hypovolemia causes decreased preload, which lowers the central venous pressure. IV fluid therapy increases preload and raises the central venous pressure.

Choice D reason:

Increased blood urea nitrogen is not an indicator of improvement for a client who has hypovolemia and is receiving IV fluid therapy. Blood urea nitrogen is a measure of the amount of urea in the blood. Urea is a waste product of protein metabolism that is excreted by the kidneys. Hypovolemia causes decreased renal perfusion, which increases the blood urea nitrogen level. IV fluid therapy improves renal perfusion and lowers the blood urea nitrogen level.

Choice A reason:

This is a correct answer because healing of ulcers is an expected outcome of PPI therapy for PUD, as it occurs when the acid-induced damage to the mucosa is repaired and the ulcer is closed.

Choice B reason:

This is a correct answer because relief of pain is an expected outcome of PPI therapy for PUD, as it occurs when the acid-induced irritation and inflammation of the mucosa and the nerve endings are reduced.

Choice C reason:

This is an incorrect answer because eradication of H. pylori is not an expected outcome of PPI therapy for PUD, as it requires a combination of antibiotics and bismuth compounds to kill the bacteria and prevent its recurrence.

Choice D reason:

This is a correct answer because prevention of bleeding is an expected outcome of PPI therapy for PUD, as it occurs when the acid-induced erosion and perforation of the mucosa and the blood vessels are prevented.

Choice E reason:

This is a correct answer because reduction of inflammation is an expected outcome of PPI therapy for PUD, as it occurs when the acid-induced activation of inflammatory mediators and immune cells are inhibited.