Nurs1020 Final Exam UPDATED
QUESTIONS AND CORRECT ANSWERS
infection - CORRECT ANSWER invasion of body tissue by microorganisms with
potential to cause disease or illness
inflammation - CORRECT ANSWER the physiologic response to reduce the effects of
what the body perceives as harmful
hyperthermia related to infection - CORRECT ANSWER the ability to maintain
normal body temperature. the invasion of body tissue by microorganisms with potential to
cause disease or illness
Classic signs of infection - CORRECT ANSWER heat, redness, inflammation,
increased exudate
pyrexia - CORRECT ANSWER raised body temperature; fever
inflammation - CORRECT ANSWER 1st phase of healing process, bodys protective
response to injury/infection/harmful stimuli, brings fluid (plasma) dissolved substances and
blood cells to the interstitial tissue
vascular and cellular response - CORRECT ANSWER vasodilation
increased permeability
chemical mediators: histamines/prostaglandins/bradykinin
serous - CORRECT ANSWER clear, watery plasma drainage
serosanguinous - CORRECT ANSWER pale pink drainage
,sanguinous - CORRECT ANSWER bright red drainage
purulent - CORRECT ANSWER thick, yellow, green, tan, or brown drainage
exudate production - CORRECT ANSWER serous, serosanguinous, sanguinous,
purulent
reparative phase - CORRECT ANSWER 1.phagocytosis
2.angiogenesis
3.fibroblast activation
4.granulation tissue forms
5.regeneration
Cardinal signs of inflammation - CORRECT ANSWER pain, warmth, redness,
swelling, loss of function
cellulitis - CORRECT ANSWER inflammation of subcutaneous tissue
priority assessment: cellulitis - CORRECT ANSWER vital signs and medical history
laboratory and diagnostic tests
monitor for signs of sepsis
inspect affected area and lymphatic involvement
assess functional status
recognize cues: cellulitis - CORRECT ANSWER erythema, edema, pain/tenderness,
warm to touch
hyperthermia, chills, fatigue/malaise
lymphadenopathy, lymphangitis
elevated WBC, (+) blood culture
, Wound Care instructions - CORRECT ANSWER 1. wash hands before touching the
wound
2. clean the wound gently as instructed
3. watch for infection
4. elevate the area
5. avoid scratching or picking at the wound
6. attend follow up appointments
mechanism of fever - CORRECT ANSWER pathogens activate leukocytes release
cytokines stimulate hypothalamus produce prostaglandins trigger fever
wound healing - CORRECT ANSWER final phase of the inflammatory response
normal body response to injury to restore the normal structure and function
two major components: regeneration and repair
primary intention - CORRECT ANSWER wound is closed with surgical intervention.
edges are brought together
best choice for clean, fresh wounds in sufficiently vascularized areas
secondary intention - CORRECT ANSWER wound is left open and allowed to heal
spontaneously
increased scarring
good for contaminated/infected wounds
tertiary intention - CORRECT ANSWER delayed primary closure
good for wounds which are contaminated/infected initially
wound classification by color: red - CORRECT ANSWER protect the wound
gentle cleaning if needed
QUESTIONS AND CORRECT ANSWERS
infection - CORRECT ANSWER invasion of body tissue by microorganisms with
potential to cause disease or illness
inflammation - CORRECT ANSWER the physiologic response to reduce the effects of
what the body perceives as harmful
hyperthermia related to infection - CORRECT ANSWER the ability to maintain
normal body temperature. the invasion of body tissue by microorganisms with potential to
cause disease or illness
Classic signs of infection - CORRECT ANSWER heat, redness, inflammation,
increased exudate
pyrexia - CORRECT ANSWER raised body temperature; fever
inflammation - CORRECT ANSWER 1st phase of healing process, bodys protective
response to injury/infection/harmful stimuli, brings fluid (plasma) dissolved substances and
blood cells to the interstitial tissue
vascular and cellular response - CORRECT ANSWER vasodilation
increased permeability
chemical mediators: histamines/prostaglandins/bradykinin
serous - CORRECT ANSWER clear, watery plasma drainage
serosanguinous - CORRECT ANSWER pale pink drainage
,sanguinous - CORRECT ANSWER bright red drainage
purulent - CORRECT ANSWER thick, yellow, green, tan, or brown drainage
exudate production - CORRECT ANSWER serous, serosanguinous, sanguinous,
purulent
reparative phase - CORRECT ANSWER 1.phagocytosis
2.angiogenesis
3.fibroblast activation
4.granulation tissue forms
5.regeneration
Cardinal signs of inflammation - CORRECT ANSWER pain, warmth, redness,
swelling, loss of function
cellulitis - CORRECT ANSWER inflammation of subcutaneous tissue
priority assessment: cellulitis - CORRECT ANSWER vital signs and medical history
laboratory and diagnostic tests
monitor for signs of sepsis
inspect affected area and lymphatic involvement
assess functional status
recognize cues: cellulitis - CORRECT ANSWER erythema, edema, pain/tenderness,
warm to touch
hyperthermia, chills, fatigue/malaise
lymphadenopathy, lymphangitis
elevated WBC, (+) blood culture
, Wound Care instructions - CORRECT ANSWER 1. wash hands before touching the
wound
2. clean the wound gently as instructed
3. watch for infection
4. elevate the area
5. avoid scratching or picking at the wound
6. attend follow up appointments
mechanism of fever - CORRECT ANSWER pathogens activate leukocytes release
cytokines stimulate hypothalamus produce prostaglandins trigger fever
wound healing - CORRECT ANSWER final phase of the inflammatory response
normal body response to injury to restore the normal structure and function
two major components: regeneration and repair
primary intention - CORRECT ANSWER wound is closed with surgical intervention.
edges are brought together
best choice for clean, fresh wounds in sufficiently vascularized areas
secondary intention - CORRECT ANSWER wound is left open and allowed to heal
spontaneously
increased scarring
good for contaminated/infected wounds
tertiary intention - CORRECT ANSWER delayed primary closure
good for wounds which are contaminated/infected initially
wound classification by color: red - CORRECT ANSWER protect the wound
gentle cleaning if needed
