Deck 11: Inflammation and Infection Management

Question 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.)

A) Risk for infection
B) Thermoregulation: Ineffective
C) Ineffective coping
D) Pain: Acute
E) Nutrition: Imbalanced, less than body requirements
F) Anxiety

Answer 1

Risk for infection
Thermoregulation: Ineffective
Pain: Acute
Nutrition: Imbalanced, less than body requirements

Question 2

A client is diagnosed with a bacterial infection. Which of the following is an example of this type of infection?

A) Malaria
B) Gastroenteritis
C) Urinary tract infection
D) Typhus

Answer 2

Urinary tract infection

Question 3

A client is diagnosed with gastroenteritis. The nurse realizes that this illness occurs from which type of disease-causing organism?

A) Bacteria
B) Fungi
C) Protozoa
D) Viruses

Answer 3

Protozoa

Question 4

The nurse is concerned that a client will experience delayed wound healing when which of the following is assessed? (Select all that apply.)

A) Prescribed a beta-blocker medication
B) Poor appetite
C) Ambulating in the room several times a day
D) Age 85
E) Prescribed steroids
F) Skin warm and dry

Question 5

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?

A) Primary
B) Secondary
C) Tertiary
D) Quaternary

Question 6

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?

A) Home environment
B) Finances
C) Medications
D) Friction and shear

Question 7

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.)

A) Ingestion
B) Vector-borne
C) Common vehicle
D) Airborne
E) Droplet
F) Contact

Question 8

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?

A) 14 to 18 g/dL
B) 4.6 to 6. 2 million/mm³
C) 4500 to 11,000 mm³
D) 50 to 60 percent

Question 9

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:

A) basophils.
B) eosinophils.
C) monocytes.
D) neutrophils.

Question 10

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?

A) Redness, swelling, heat, and pain
B) Reduced urine output
C) Thirst
D) Elevated blood pressure and slow heart rate

Question 11

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.)

A) In contact with blood
B) In contact with mucous membranes
C) Delivering a meal tray
D) Providing medications
E) Measuring urine output
F) Suctioning oral secretions

Question 12

Which of the following will the nurse most likely assess in a client diagnosed with asthma?

A) Wheezing and anxiety
B) Barking cough and increased blood pressure
C) Bradycardia and restlessness
D) Anemia and hypoxia

Question 13

A client has been diagnosed with Rocky Mountain spotted fever. The causative organism for this disease process is:

A) bacteria.
B) helminth.
C) mycoplasma.
D) rickettsia.

Question 14

A client is being admitted to a health care facility. Which type of precautions will the nurse implement at this time?

A) Airborne
B) Contact
C) Droplet
D) Standard

Question 15

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?

A) Debridement
B) Restrict fluids
C) Provide moist environment
D) Prevent further injury
E) Maintain on bed rest
F) Nutrition

Question 16

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?

A) Face shield with mask and gown
B) Gloves and gown
C) A high-efficiency particulate air filter mask
D) Surgical mask

Question 17

The nurse would expect that a client diagnosed with arthritis will be prescribed which of the following medications?

A) Albuterol
B) Furosemide
C) Ibuprofen
D) Nortriptyline

Question 18

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?

A) Face shield with mask and gown
B) N-95 mask
C) Surgical mask
D) Patient does not need to wear a device