The nurse is caring for a client with a wound on their leg. During the nurse's assessment, the client explains that he is not feeling well. The nurse knows that a systemic response to a wound infection would be?
Exudate
Pain
Hyperthermia
Hardening of the tissue
The Correct Answer is C
A. Exudate: Exudate refers to the fluid, such as pus or serum, that is discharged from a wound.
While exudate may be present in infected wounds, it is not a systemic response.
B. Pain: Pain is a localized response to tissue injury and may be present in infected wounds, but it is not a systemic response.
C. Hyperthermia: Hyperthermia, or an elevated body temperature (fever), is a common systemic response to infection, including wound infections. It indicates the body's immune response to the infection.
D. Hardening of the tissue: Hardening of the tissue, known as induration, may occur in infected wounds due to inflammation but is not a specific systemic response.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
1. Identify the ordered dose: The doctor has prescribed 250 mg of vancomycin.
2. Determine the strength available: Each vancomycin capsule contains 125 mg.
3. Calculate the number of capsules needed: Divide the ordered dose by the strength per capsule (250 mg ÷ 125 mg/capsule).
= 2 capsules
Correct Answer is A
Explanation
A. Utilizing a friend's computer keyboard: Indirect transmission occurs when pathogens are transmitted via inanimate objects, such as keyboards, doorknobs, or utensils. If the friend's computer keyboard is contaminated with pathogens, the patient could contract an illness by touching it.
B. Talking directly to someone coughing: This is an example of direct transmission, where pathogens are transmitted through close contact with an infected person's respiratory secretions.
C. Standing next to a person with a varicella (chickenpox) infection: This is an example of direct transmission, as varicella is spread through respiratory droplets.
D. Walking past an individual coughing and sneezing: This is also an example of direct transmission, as respiratory droplets containing pathogens can land on the nurse and lead to infection if inhaled or touched.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.