Chapter 11-- Inflammation and Infection Management

Chapter 11-- Inflammation and Infection Management MULTIPLE CHOICE 1. The nurse, assessing a client’s leukocyte level, determines the amount to be within normal limits. Which of the following would indicate a norm ...

Chapter 11-- Inflammation and Infection Management MULTIPLE CHOICE 1. The nurse, assessing a client’s leukocyte level, determines the amount to be within normal limits. Which of the following would indicate a normal level of leukocytes in the client’s blood? 1. 14 to 18 g/dL 2. 4.6 to 6.2 million/mm3 3. 4500 to 11,000 mm3 4. 50 to 60 percent ANS: 3 PTS: 1 DIF: Analyze REF: Leukocytes 2. A client’s complete blood count reveals a large amount of phagocytic cells present. The nurse realizes that this type of cell is most likely: 1. basophils. 2. eosinophils. 3. monocytes. 4. neutrophils. PTS: 1 DIF: Analyze REF: Leukocytes 3. According to assessment findings, the nurse determines that a client is experiencing an inflammatory process. Which of the following did the nurse assess in this client? 1. Redness, swelling, heat, and pain 2. Reduced urine output 3. Thirst 4. Elevated blood pressure and slow heart rate PTS: 1 DIF: Analyze REF: Signs of Inflammation 4. A client is diagnosed with a bacterial infection. Which of the following is an example of this type of infection? 1. Malaria 2. Gastroenteritis 3. Urinary tract infection 4. Typhus PTS: 1 DIF: Understand REF: Table 11-3 Types of Agents Causing Disease 5. A client is diagnosed with gastroenteritis. The nurse realizes that this illness occurs from which type of disease-causing organism? 1. Bacteria 2. Fungi 3. Protozoa 4. Viruses PTS: 1 DIF: Analyze REF: Table 11-3 Types of Agents Causing Disease 6. A client has been diagnosed with Rocky Mountain spotted fever. The causative organism for this disease process is: 1. bacteria. 2. helminth. 3. mycoplasma. 4. rickettsia. PTS: 1 DIF: Understand REF: Table 11-3 Types of Agents Causing Disease 7. Which of the following will the nurse most likely assess in a client diagnosed with asthma? 1. Wheezing and anxiety 2. Barking cough and increased blood pressure 3. Bradycardia and restlessness 4. Anemia and hypoxia PTS: 1 DIF: Analyze REF: Asthma: An Allergic Disease 8. The nurse would expect that a client diagnosed with arthritis will be prescribed which of the following medications? 1. Albuterol 2. Furosemide 3. Ibuprofen 4. Nortriptyline PTS: 1 DIF: Analyze REF: Arthritis 9. A client is being admitted to a health care facility. Which type of precautions will the nurse implement at this time? 1. Airborne 2. Contact 3. Droplet 4. Standard PTS: 1 DIF: Apply REF: Standard Precautions 10. A client diagnosed with tuberculosis is scheduled for a chest x-ray to be completed in the radiology department. Which of the following devices should be utilized when transporting this client? 1. Face shield with mask and gown 2. N-95 mask 3. Surgical mask 4. Patient does not need to wear a device PTS: 1 DIF: Apply REF: Airborne Precautions 11. The nurse is preparing to administer medications to a client diagnosed with varicella. Which of the following personal protective equipment should the nurse use when entering the client’s room? 1. Face shield with mask and gown 2. Gloves and gown 3. A high-efficiency particulate air filter mask 4. Surgical mask PTS: 1 DIF: Apply REF: Airborne Precautions 12. A client is diagnosed with venous leg ulcers. The nurse would expect that these wounds will heal by which of the following types of intention? 1. Primary 2. Secondary 3. Tertiary 4. Quaternary PTS: 1 DIF: Analyze REF: Types of Wound Healing 13. The nurse is using the Braden Scale to determine a client’s risk for developing a pressure ulcer. Which of the following areas are assessed with this scale? 1. Home environment 2. Finances 3. Medications 4. Friction and shear PTS: 1 DIF: Apply REF: Table 11-7 Elements in Braden Pressure Scale MULTIPLE RESPONSE 1. The nurse is identifying nursing diagnoses for a client experiencing inflammation. Which of the following diagnoses would be appropriate for this client? (Select all that apply.) 1. Risk for infection 2. Thermoregulation: Ineffective 3. Ineffective coping 4. Pain: Acute 5. Nutrition: Imbalanced, less than body requirements 6. Anxiety PTS: 1 DIF: Apply REF: Nursing Response: Inflammation 2. The nurse is determining the route of transmission for an infectious organism. Which of the following are types of transmission routes? (Select all that apply.) 1. Ingestion 2. Vector-borne 3. Common vehicle 4. Airborne 5. Droplet 6. Contact PTS: 1 DIF: Analyze REF: Infectious Disease Control 3. The nurse is determining when gloves should be worn when providing client care. Which of the following situations would necessitate the wearing of gloves? (Select all that apply.) 1. In contact with blood 2. In contact with mucous membranes 3. Delivering a meal tray 4. Providing medications 5. Measuring urine output 6. Suctioning oral secretions PTS: 1 DIF: Analyze REF: Table 11-4 Summary of the Updated Centers for Disease Control and Prevention Isolation Guidelines 4. The nurse is concerned that a client will experience delayed wound healing when which of the following is assessed? (Select all that apply.) 1. Prescribed a beta-blocker medication 2. Poor appetite 3. Ambulating in the room several times a day 4. Age 85 5. Prescribed steroids 6. Skin warm and dry PTS: 1 DIF: Analyze REF: Table 11-6 Risk Factors for Delayed Wound Healing 5. The nurse is planning care for a client with a chronic wound. Which of the following principles should be reflected in this client’s care? 1. Debridement 2. Restrict fluids 3. Provide moist environment 4. Prevent further injury 5. Maintain on bed rest 6. Nutrition PTS: 1 DIF: Apply REF: Interventions: Wound Management