Which of the following should the nurse recognize as a sign of possible infection in a postoperative client? (Select all that apply.)
Dry crust on the incision line
Adventitious breath sounds
Increased urine output
Decreased level of consciousness
Oral temperature of 38.3° C (101° F)
Correct Answer : B,D,E
A. Dry crust on the incision line may indicate normal healing, not necessarily infection.
B. Adventitious breath sounds can be indicative of pneumonia, a potential infection.
C. Increased urine output is not a sign of infection but may suggest other issues.
D. Decreased level of consciousness suggests a systemic issue, which could include infection affecting the central nervous system.
E. Oral temperature of 38.3° C (101° F) indicates fever which is a common sign of infection.
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Related Questions
Correct Answer is D
Explanation
A. Scheduling important tasks in the afternoon is a good strategy for managing fatigue, it does not directly address pain relief.
B. Performing range-of-motion if joints are red may exacerbate inflammation and is not a recommended practice.
C. Stopping exercising if experiencing discomfort is essential to differentiate between normal discomfort and pain that may indicate potential harm. Continuing with mild discomfort may be appropriate.
D. Both heat and cold applications can provide relief from rheumatoid arthritis pain and inflammation.
Correct Answer is D
Explanation
A. Colchicine is not used to treat osteoarthritis; its therapeutic effect is specific to gout.
B. Colchicine can be used both for acute gout attacks and for prophylaxis in some cases, so saying it does not help with long-term management is inaccurate.
C. Colchicine does not reduce uric acid levels or crystal formation; instead, it works by decreasing the inflammatory response.
D. Colchicine reduces inflammation and swelling associated with an acute gout attack, and clients can expect symptom improvement within 2 to 3 days.
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