Nurs 2310 Exam 2 Questions With Complete Solutions
A patient is diagnosed with a sprain to her right ankle after a
fall. The patient asks the nurse about using ice on her injured
ankle. What is the nurse's best response?
"Wrap an ice pack around the injured ankle for the next 24-48
hours."
"Ice is not recommended for use on the sprain because it would
inhibit the inflammatory response."
"Use ice only when the ankle hurts."
"Ice should be applied for 15-20 minutes every 2-3 hours over
the next 1-2 days."
Correct! "Ice should be applied for 15-20 minutes every 2-3
hours over the next 1-2 days." Ice is used on areas of injury
during the first 24-48 hours after the injury occurs to prevent
damage to surrounding tissues from excessive inflammation. Ice
should be used for a maximum of 20 minutes at a time every 2-3
hours. Ice must be used according to a schedule for it to be
effective and not be overused. Using ice more often or for longer
periods of time can cause additional tissue damage. Ice is
recommended to inhibit the inflammatory process from
damaging surrounding tissue.
The nurse reviews the patient's complete blood count (CBC)
results and notes that the neutrophil levels are elevated, but
monocytes are still within normal limits. This indicates what
type of inflammatory response?
Early stage acute
,Resolved
late stage acute
Chronic
Correct! Early stage acute Elevated neutrophils and monocytes
within normal limits are findings indicative of early
inflammatory response. Neutrophils increase in just a few hours,
while it takes the body days to increase the monocyte levels.
Chronic inflammation results in varying elevations in WBCs
dependent on multiple issues. Elevated neutrophils are not
indicative of resolved inflammation. Elevations in monocytes
occur later in the inflammatory response.
The nurse assesses the patient and notes all of the following.
Which of the findings indicates systemic manifestations of
inflammation? (Select all that apply.)
Thick, green nasal discharge
Patient complaint of pain at 6 on a 0-10 scale on palpation of
frontal and maxillary sinuses
Patient reports, "I'm tired all the time. I haven't felt like myself
in days."
WBC 20 cells/McL × 109/L
Oral temperature 38.6 °C/101.5 °F
Correct! Oral temperature 38.6 °C/101.5 °F Systemic
manifestations of inflammatory response include elevated
temperature, leukocytosis, and malaise and fatigue. Purulent
exudates and pain are both considered local manifestations of
inflammation.
Correct! WBC 20 cells/McL × 109/L Systemic manifestations of
, inflammatory response include elevated temperature,
leukocytosis, and malaise and fatigue. Purulent exudates and
pain are both considered local manifestations of inflammation.
Patient reports, "I'm tired all the time. I haven't felt like myself
in days."
What in C.E.'s history is commonly associated with pulmonary
problems? (select all that apply)
Over the age of 40
cigarette smoking
sleeping in a recliner
shortness of breath
retired engineer
Over the age of 40
Correct! cigarette smoking
Correct! sleeping in a recliner
Correct! shortness of breath
ABGs: pH 7.32, SaO2 83%, PaCO2 55 mmHg, HCO3 26
mEq/L, PaO2 70 mmHg
Interpret C.E.'s ABGs. (Say what is high, what is low, and what
this is called.)
compensated metabolic acidosis
compensated respiratory alkalosis
uncompensated respiratory acidosis
uncompensated metabolic alkalosis
A patient is diagnosed with a sprain to her right ankle after a
fall. The patient asks the nurse about using ice on her injured
ankle. What is the nurse's best response?
"Wrap an ice pack around the injured ankle for the next 24-48
hours."
"Ice is not recommended for use on the sprain because it would
inhibit the inflammatory response."
"Use ice only when the ankle hurts."
"Ice should be applied for 15-20 minutes every 2-3 hours over
the next 1-2 days."
Correct! "Ice should be applied for 15-20 minutes every 2-3
hours over the next 1-2 days." Ice is used on areas of injury
during the first 24-48 hours after the injury occurs to prevent
damage to surrounding tissues from excessive inflammation. Ice
should be used for a maximum of 20 minutes at a time every 2-3
hours. Ice must be used according to a schedule for it to be
effective and not be overused. Using ice more often or for longer
periods of time can cause additional tissue damage. Ice is
recommended to inhibit the inflammatory process from
damaging surrounding tissue.
The nurse reviews the patient's complete blood count (CBC)
results and notes that the neutrophil levels are elevated, but
monocytes are still within normal limits. This indicates what
type of inflammatory response?
Early stage acute
,Resolved
late stage acute
Chronic
Correct! Early stage acute Elevated neutrophils and monocytes
within normal limits are findings indicative of early
inflammatory response. Neutrophils increase in just a few hours,
while it takes the body days to increase the monocyte levels.
Chronic inflammation results in varying elevations in WBCs
dependent on multiple issues. Elevated neutrophils are not
indicative of resolved inflammation. Elevations in monocytes
occur later in the inflammatory response.
The nurse assesses the patient and notes all of the following.
Which of the findings indicates systemic manifestations of
inflammation? (Select all that apply.)
Thick, green nasal discharge
Patient complaint of pain at 6 on a 0-10 scale on palpation of
frontal and maxillary sinuses
Patient reports, "I'm tired all the time. I haven't felt like myself
in days."
WBC 20 cells/McL × 109/L
Oral temperature 38.6 °C/101.5 °F
Correct! Oral temperature 38.6 °C/101.5 °F Systemic
manifestations of inflammatory response include elevated
temperature, leukocytosis, and malaise and fatigue. Purulent
exudates and pain are both considered local manifestations of
inflammation.
Correct! WBC 20 cells/McL × 109/L Systemic manifestations of
, inflammatory response include elevated temperature,
leukocytosis, and malaise and fatigue. Purulent exudates and
pain are both considered local manifestations of inflammation.
Patient reports, "I'm tired all the time. I haven't felt like myself
in days."
What in C.E.'s history is commonly associated with pulmonary
problems? (select all that apply)
Over the age of 40
cigarette smoking
sleeping in a recliner
shortness of breath
retired engineer
Over the age of 40
Correct! cigarette smoking
Correct! sleeping in a recliner
Correct! shortness of breath
ABGs: pH 7.32, SaO2 83%, PaCO2 55 mmHg, HCO3 26
mEq/L, PaO2 70 mmHg
Interpret C.E.'s ABGs. (Say what is high, what is low, and what
this is called.)
compensated metabolic acidosis
compensated respiratory alkalosis
uncompensated respiratory acidosis
uncompensated metabolic alkalosis
