Nokea
The signs and symptoms of both infection and inflammation include erythema edema and pain. What is considered the major difference between infection and inflammation?
- A. Inflammation is a result of bacteria.
- B. Inflammation is a protective response.
- C. Inflammation is a disease process.
- D. Inflammation produces tissue damage.
Correct Answer: B
Rationale: Inflammation is a protective response.
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A health care provider documents that a patient has a sallow complexion. How does the nurse interpret this information?
- A. Yellow color to the skin
- B. Blue color to the skin
- C. Red color to the skin
- D. Gray color to the skin
Correct Answer: A
Rationale: Sallow is an unhealthy, yellow color; usually said of a complexion or skin.
A health care provider needs to assess a patient's rectal area. In what position should the nurse place the patient?
- A. Sims
- B. Prone
- C. Lithotomy
- D. Knee-chest
Correct Answer: D
Rationale: Knee-chest position provides maximum exposure of the rectal area.
A condition in which a patient experiences bluish discoloration of the skin and mucous membranes caused by an increase of deoxygenated hemoglobin in the blood is known as ____.
Correct Answer: cyanosis
Rationale: Cyanosis is a bluish discoloration of the skin and mucous membranes caused by an increase of deoxygenated hemoglobin in the blood.
During a neurologic assessment the nurse notes a patient has a unilateral dilated and nonreactive pupil. This is a sign that the patient is experiencing pressure on which cranial nerve?
- A. I
- B. II
- C. III
- D. IV
Correct Answer: C
Rationale: The third cranial nerve runs parallel to the brainstem. The function of the oculomotor nerve is essential for eye movements. A traumatic brain injury can result in increased intracranial pressure, edema to the brainstem with pressure on cranial nerve III, causing the ominous sign of a unilateral, dilated, and nonreactive pupil.
When discussing diabetes with a patient the nurse describes this disease as falling into which group in terms of duration?
- A. Acute
- B. Organic
- C. Chronic
- D. Functional
Correct Answer: C
Rationale: Diabetes mellitus is an example of a chronic disease.