The nurse is caring for a client with a new incision and is experiencing some inflammation. What is the ultimate purpose of the inflammatory process in preparation for healing?
Provide a feedback mechanism for pain identification
Increase fatty deposits in the affected tissue
Localize, destroy, and remove injurious agents
Release antigens into the general circulation
The Correct Answer is C
A. While pain is a common symptom associated with inflammation, providing a feedback mechanism for pain identification is not the ultimate purpose of the inflammatory process.
B. The inflammatory process is not primarily aimed at increasing fatty deposits in affected tissue.
C. The ultimate purpose of the inflammatory process is to localize, destroy, and remove injurious agents such as pathogens and damaged cells, thereby preparing the wound for healing.
D. Releasing antigens into the general circulation is not the primary purpose of the inflammatory process.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Rheumatoid factor (RF) is often elevated in individuals with rheumatoid arthritis.
B. CA 125 is a tumor marker used primarily for detecting ovarian cancer and is not specific to rheumatoid arthritis.
C. While increased white blood cell count (WBC) may occur in inflammatory conditions like rheumatoid arthritis, it is not specific to the disease.
D. In rheumatoid arthritis, the erythrocyte sedimentation rate (ESR) is typically elevated rather than decreased.
Correct Answer is C
Explanation
A. While monitoring urine characteristics is important for overall assessment, it may not be the priority in this situation.
B. Homan's sign is used to assess for deep vein thrombosis and may not be directly related to the client's current symptoms.
C. Elevated temperature after knee replacement surgery could indicate a potential infection, including pneumonia, so assessing lung sounds for signs of infection is a priority.
D. Diarrhea may be indicative of gastrointestinal issues but is less likely to be directly related to the client's current symptoms after knee replacement surgery.
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