Mary, a 45-year-old woman, comes into the clinic complaining of a swollen and painful toe after stubbing it on a furniture leg. The nurse explains that the pain is most likely due to what mechanism in the inflammatory response?
Release of enzymes that irritate the tissues.
Edema compressing nerve endings.
Heat generated during the process of lysis.
Accumulation of acidic waste from dying cells.
The Correct Answer is B
A. This mechanism is more relevant in conditions like pancreatitis or tissue injury involving enzyme release, not specifically in traumatic inflammation.
B. Inflammation leads to increased vascular permeability and fluid accumulation (edema), which can compress nerve endings and cause pain.
C. Lysis refers to the breakdown of cells, which may release heat, but this is not typically a significant factor in localized inflammation from trauma.
D. Acidic waste accumulation occurs in cell death processes like necrosis, but it's not the primary mechanism causing pain in traumatic inflammation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While pain management and assessing for skin injuries are important, prioritizing assessments related to bleeding risk due to anticoagulant therapy is crucial.
B. These assessments help evaluate Sarah's coagulation status and bleeding risk, given her anticoagulant therapy and recent injury.
C. While these interventions may help manage swelling and pain, they do not directly address Sarah's increased bleeding risk.
D. Heat application may increase bleeding risk, and acetaminophen alone may not address potential bleeding complications.
Correct Answer is ["C","D"]
Explanation
A. Immunoglobulin injection provides passive immunity, which is temporary and does not confer long-term protection.
B. Passive immunity is different from active immunity, which is acquired through vaccination or natural infection and involves the stimulation of the recipient's own
immune system to produce antibodies and memory cells that can recognize and eliminate the pathogen in the future.
C. Passive immunity is effective in preventing or reducing the severity of infections, but it does not last long and does not confer memory or protection against future exposures.
D. Passive immunity acquired through immunoglobulin injection is temporary and wanes over time.
E. Immunoglobulin injection provides passive immunity and is not conferred through vaccination, which induces active immunity.
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