NSG 1400 Exam 3 Questions With Complete Solutions
Acute Inflammation Correct Answers Immediate response to
tissue injury and is short in duration (minutes to days).
5 Cardinal Signs: Redness, Swelling, Heat, Pain, and loss of
function.
Neutrophils will appear first in great numbers, followed by
macrophages.
Airborne Precautions Correct Answers Patient must have their
own room (negative air pressure), need to wear a respirator or
N95.
Examples: TB, shingles, chickenpox
aPTT Correct Answers >30-40 seconds
Arteriogram Correct Answers Shows visualization of arteries.
Assessment (Signs/Symptoms) of Inflammation Correct
Answers Trigger for allergy, swelling, pain, fatigue, WBC,
CRP, ESR (chronic), Fever, redness, high HR, malaise.
Assessment for Immunity Correct Answers History (Past
medical, family, genetic), current meds, allergies, lifestyle
behaviors, occupation and social environments.
Assessment for Perfusion Correct Answers Vital Signs: BP,
apical pulse and peripheral pulses.
Auscultation of heart sounds, 2 heart sounds (lub-dub).
,Skin temperature and color, check capillary refill (<2 Seconds),
check if alert/orient, ask if they have pain in legs, fingers or toes,
check for edema
Assessment for Tissue Integrity (History) Correct Answers
History: Allergies, family history, skin disorders, past and
current conditions.
Problem based history: changes in skin color/condition, new
rash/lesion, wounds slow to heal, excessive bruising, loss of
hair.
Assessment for Tissue Integrity (Inspection) Correct Answers
General condition and color
Lesions: location, size, shape, color, pattern and characteristics.
Assessment for Tissue Integrity (Palpation) Correct Answers
Feel skin for surface characteristics, temperature and texture.
Pinch for skin turgor
Braden Scale Correct Answers Used to predict pressure sore
risk
Adults scoring less than 18 of possible 23 are considered to be at
risk for dermal ulcers.
Cardiac Stress Test Correct Answers Can use chemical or
exercise.
Monitor heart under increased stress.
Normal findings should show no change in electrical conduction
and person should not have chest pain.
, Cellular Response for Immunity Correct Answers Dominated
by lymphocytes: B-Cells, and T-Cells
Cellular Response to Inflammation Correct Answers Warmth,
redness, swelling, and pain. Decreased function of neutrophils
and monocytes.
Chronic Inflammation Correct Answers Continues for weeks
and years after initial injury. Macrophages and lymphocytes will
dominate the WBC during this response.
May have elevated levels of CRP and ESR. Localized
inflammation will result in formation of a granuloma.
Collaborative Interventions (Tertiary) for Gas Exchange
Correct Answers -Smoking cessation
-Pharmacotherapy (bronchodilators, antimicrobals,
antihistamine).
-O2 therapy.
-Positioning
-Nutrition therapy
-Chest physiotherapy
-Postural drainage
-Mechanical intubation
-Airway suctioning
-Chest/Tracheal tube management
Collaborative Interventions for Tissue Integrity (Tertiary)
Correct Answers Pharmacotherapy: antibiotics, steroids,
emollients, chemotherapy.
Wound Care- Cleansing, dressings.
Phototherapy
Acute Inflammation Correct Answers Immediate response to
tissue injury and is short in duration (minutes to days).
5 Cardinal Signs: Redness, Swelling, Heat, Pain, and loss of
function.
Neutrophils will appear first in great numbers, followed by
macrophages.
Airborne Precautions Correct Answers Patient must have their
own room (negative air pressure), need to wear a respirator or
N95.
Examples: TB, shingles, chickenpox
aPTT Correct Answers >30-40 seconds
Arteriogram Correct Answers Shows visualization of arteries.
Assessment (Signs/Symptoms) of Inflammation Correct
Answers Trigger for allergy, swelling, pain, fatigue, WBC,
CRP, ESR (chronic), Fever, redness, high HR, malaise.
Assessment for Immunity Correct Answers History (Past
medical, family, genetic), current meds, allergies, lifestyle
behaviors, occupation and social environments.
Assessment for Perfusion Correct Answers Vital Signs: BP,
apical pulse and peripheral pulses.
Auscultation of heart sounds, 2 heart sounds (lub-dub).
,Skin temperature and color, check capillary refill (<2 Seconds),
check if alert/orient, ask if they have pain in legs, fingers or toes,
check for edema
Assessment for Tissue Integrity (History) Correct Answers
History: Allergies, family history, skin disorders, past and
current conditions.
Problem based history: changes in skin color/condition, new
rash/lesion, wounds slow to heal, excessive bruising, loss of
hair.
Assessment for Tissue Integrity (Inspection) Correct Answers
General condition and color
Lesions: location, size, shape, color, pattern and characteristics.
Assessment for Tissue Integrity (Palpation) Correct Answers
Feel skin for surface characteristics, temperature and texture.
Pinch for skin turgor
Braden Scale Correct Answers Used to predict pressure sore
risk
Adults scoring less than 18 of possible 23 are considered to be at
risk for dermal ulcers.
Cardiac Stress Test Correct Answers Can use chemical or
exercise.
Monitor heart under increased stress.
Normal findings should show no change in electrical conduction
and person should not have chest pain.
, Cellular Response for Immunity Correct Answers Dominated
by lymphocytes: B-Cells, and T-Cells
Cellular Response to Inflammation Correct Answers Warmth,
redness, swelling, and pain. Decreased function of neutrophils
and monocytes.
Chronic Inflammation Correct Answers Continues for weeks
and years after initial injury. Macrophages and lymphocytes will
dominate the WBC during this response.
May have elevated levels of CRP and ESR. Localized
inflammation will result in formation of a granuloma.
Collaborative Interventions (Tertiary) for Gas Exchange
Correct Answers -Smoking cessation
-Pharmacotherapy (bronchodilators, antimicrobals,
antihistamine).
-O2 therapy.
-Positioning
-Nutrition therapy
-Chest physiotherapy
-Postural drainage
-Mechanical intubation
-Airway suctioning
-Chest/Tracheal tube management
Collaborative Interventions for Tissue Integrity (Tertiary)
Correct Answers Pharmacotherapy: antibiotics, steroids,
emollients, chemotherapy.
Wound Care- Cleansing, dressings.
Phototherapy
