A nurse is teaching a newly hired nurse about the risks of cellulitis following an injury. Which of the following statements by the newly hired nurse shows the teaching was effective?
"Skin abrasions cause red blood cells to respond to the area of infiltration and cause inflammation."
"Skin abrasions facilitate the entry and travel of bacteria to deeper tissue layers."
"Skin abrasions only cause cellulitis when it is deep enough to impact the dermal layer of skin."
"Skin abrasions lead to inflammation because of the proliferation of neutrophils."
The Correct Answer is B
A. "Skin abrasions cause red blood cells to respond to the area of infiltration and cause inflammation.": Red blood cells are not the primary responders to bacterial invasion; inflammation is mediated mainly by immune cells such as neutrophils and macrophages, not red blood cells.
B. "Skin abrasions facilitate the entry and travel of bacteria to deeper tissue layers.": Breaks in the skin, such as abrasions, compromise the protective barrier and allow bacteria to enter underlying tissues, increasing the risk of cellulitis. Understanding this mechanism reflects effective teaching about infection risk.
C. "Skin abrasions only cause cellulitis when it is deep enough to impact the dermal layer of skin.": Even superficial abrasions can allow bacteria to penetrate and cause cellulitis; depth is not the only determining factor for infection.
D. "Skin abrasions lead to inflammation because of the proliferation of neutrophils.": While neutrophils mediate inflammation once infection occurs, the initial risk stems from bacterial entry through the abrasion rather than neutrophil proliferation alone.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "A provider will explain the changes you may see in your child's body after they have died.": Nurses are often the primary professionals who prepare families for expected postmortem changes such as skin cooling, color changes, and cessation of breathing. Limiting this role to a provider is inaccurate and may delay timely, compassionate education.
B. "Several members of the team will assist you after your child dies.": After a child’s death, an interprofessional team—including nurses, providers, chaplains, social workers, and bereavement specialists—supports the family. This assistance includes emotional support, guidance through next steps, and honoring cultural or spiritual practices. Preparing families for this support helps reduce anxiety and feelings of isolation.
C. "A nurse must obtain locks of hair from the deceased child.": Creating keepsakes such as locks of hair is optional and should be guided by family preference and cultural considerations. It is never mandatory and should only be offered sensitively. Presenting this as a requirement may be distressing to families.
D. "Warming blankets can minimize the body changes in deceased children.": After death, physiologic changes such as cooling and mottling are expected and cannot be prevented with warming measures. Applying warming blankets may create false expectations or confusion. Comfort measures are directed toward the family rather than altering postmortem changes.
Correct Answer is ["A","D"]
Explanation
A. It can lead to physical manifestations in children, like stomach pain, even in the absence of a specific illness or cause: Hospitalization can be a stressful experience for toddlers, and stress may manifest as somatic symptoms such as stomachaches, headaches, or changes in appetite, even without an underlying medical cause.
B. Children who are undergoing hospitalization are not affected by changes in their usual routine and environment: Hospitalization disrupts familiar routines and environments, which can increase anxiety, stress, and behavioral changes in children.
C. Stress during hospitalization is unlikely to influence the recovery and health outcomes of pediatric clients: Stress can negatively affect immune function, pain perception, and overall recovery, making it an important factor to address in pediatric care.
D. It can negatively impact children's mental health: Hospitalization can lead to fear, anxiety, regression, and emotional distress, particularly in toddlers who have limited coping mechanisms and understanding of medical procedures.
E. Pediatric clients of all ages experience hospitalization in a similar manner: Children’s reactions to hospitalization vary widely depending on their developmental stage, temperament, previous experiences, and support systems, so experiences are not uniform across all ages.
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