Exam 13: Inflammation and Wound Healing

A patient's temperature has been 101° F (38.3° C) for several days. The patient's normal caloric intake to meet nutritional needs is 2000 calories per day. Knowing that the metabolic rate increases 7% for each Fahrenheit degree above 100° in body temperature, calculate the total calories the patient should receive each day. ____________________

A patient with an open abdominal wound has a complete blood cell ( CBC ) count and differential, which indicate an increase in white blood cells (WBCs) and a shift to the left. The nurse anticipates that the next action will be to

A patient who has an infected abdominal wound develops a temperature of 104°F ( 40° C ). All the following interventions are included in the patient's plan of care. In which order should the nurse perform the following actions? Put a comma and space between each solve choice ( a, b, c, d, etc. ) ____________________

When admitting a patient with stage III pressure ulcers on both heels, which information obtained by the nurse will have the most impact on wound healing?

A patient is admitted to the hospital with a pressure ulcer on the left buttock. The base of the wound is yellow and involves subcutaneous tissue. The nurse classifies the pressure ulcer as stage

A diabetic patient is admitted for a laparotomy and possible release of adhesions. When planning interventions to promote wound healing, the nurse's highest priority will be

The nurse assesses a surgical patient the morning of the first postoperative day and notes redness and warmth around the incision. Which action by the nurse is most appropriate?

Which of these four patients should the medical-surgical unit charge nurse assign to an LPN team member?

The charge nurse observes a new graduate performing a dressing change on a stage II left heel pressure ulcer. Which action by the new graduate indicates a need for further education about pressure ulcer care?

A patient's 6 *3-cm leg wound has a 2-mm black area surrounded by yellow-green semiliquid material. Which dressing will the nurse use for wound care?

Which nursing action will be included when the nurse is doing a wet-to-dry dressing change for a patient's stage III sacral pressure ulcer?

Which nursing action is most likely to detect early signs of infection in a patient who is taking immunosuppressive medications?

The nurse will plan to use wet-to-dry dressings when providing care for a patient with a

A 76-year-old patient has an open surgical wound on the abdomen that contains a creamy exudate and small areas of deep pink granulation tissue. The nurse documents the wound as a

When caring for a diabetic patient who had abdominal surgery one week ago, the nurse obtains these data. Which finding should be reported immediately to the health care provider?

A patient with a systemic bacterial infection has "goose pimples," feels cold, and has a shaking chill. At this stage of the febrile response, the nurse will plan to monitor for

The nurse has just received change-of-shift report about the following four patients. Which patient will the nurse assess first?

A 24-year-old patient who is receiving antibiotics for an infected leg wound has a temperature of 101.8° F ( 38.7° C ). Which action by the nurse is most appropriate?

A patient who is confined to bed and who has a stage II pressure ulcer is being cared for in the home by family members. To prevent further tissue damage, the home care nurse instructs the family members that it is most important to

A patient arrives in the emergency department with a swollen ankle after an injury incurred while playing soccer. Which action by the nurse is appropriate?