Nokea
What factors does the nurse know impact the processes of inflammation, repair, and replacement? Select all that apply.
- A. Severity of the injury
- B. Social relationships
- C. Condition of the host
- D. Familial support
- E. Nature of the injury
Correct Answer: A,C,E
Rationale: The condition of the host, the environment, and the nature and severity of the injury affect the processes of inflammation, repair, and replacement. The patients social relationships and familial support do not directly affect the processes of inflammation, repair, and replacement.
You may also like to solve these questions
What can the triage nurse teach the mother?
- A. The pain, redness, and swelling are part of the inflammatory process, but it is probably too early for an infection.
- B. Bee stings frequently cause infection, pain, and swelling, and, with treatment, the infection should begin to subside late today.
- C. The infection was probably caused by the stinger, which may still be in the wound.
- D. The mothers assessment is accurate and the ED doctor will probably prescribe antibiotics to fix the problem.
Correct Answer: A
Rationale: Cells or tissues of the body may be injured or killed by any agent (physical, chemical, infectious). When this happens, an inflammatory response (or inflammation) naturally occurs in the healthy tissues adjacent to the injury site. Inflammation is not the same as infection. An infectious agent is only one of several agents that may trigger an inflammatory response. Although bee stings may cause infection, the signs and symptoms (very painful, looks swollen and red) result from the acute inflammatory response. If the stinger were still in the wound, it would only be creating inflammation, not infection. Antibiotics are not indicated.
What is most important for the nurses to know about these coping behaviors?
- A. They are effective, but alternative, coping behaviors.
- B. They do not directly influence stress in the body.
- C. They are adaptive behaviors.
- D. They increase the risk of illness.
Correct Answer: D
Rationale: Coping processes that include the use of alcohol or drugs to reduce stress increase the risk of illness. The use of drugs and alcohol as a means to reduce stress are not effective coping behaviors. They are maladaptive behaviors, even though they have a short-term effect on stress.
What would occur during adulthood in the GAS?
- A. Stressful events occur and resistance or adaption occurs.
- B. Successful avoidance of stressful life events leaves the body vulnerable.
- C. The accumulation of lifes stressors causes resistance to fall.
- D. Vulnerability leads to eventual death.
Correct Answer: A
Rationale: Selye compared the general adaptation syndrome with the life process. During childhood, too few encounters with stress occur to promote the development of adaptive functioning, and children are vulnerable. During adulthood, a number of stressful events occur, and people develop resistance or adaptation. During the later years, the accumulation of lifes stressors and wear and tear on the organism again decrease peoples ability to adapt, so resistance falls, and, eventually, death occurs.
How would the nurse practitioner explain this condition to the patient?
- A. Hyperplasia is the abnormal decrease in cell and organ size and is a precursor to cancer.
- B. Hyperplasia is an abnormal increase in new cells and is reversible with the stimulus for cell growth removed.
- C. Hyperplasia is the change in appearance of the thyroid due to a chronic irritation and will reverse with the stimulus removed.
- D. Hyperplasia is a cancerous growth and will be removed surgically.
Correct Answer: B
Rationale: Hyperplasia is an increase in the number of new cells in an organ or tissue. This is due to increased mitotic stimulation from the additional cell division, and this, in turn, enlarges the tissue. Hyperplasia is reversible when the stimulus for cell growth is removed. Hyperplasia is the increase in the number of new cells, not a change in size or appearance. Hyperplasia is the increase in the number of new cells, which may or may not be cancerous growth.
Which factor would the nurse identify as most important in determining health status?
- A. Gender
- B. Ethnicity
- C. Social class
- D. Interfamilial relationships
Correct Answer: C
Rationale: The single most important factor for determining health status is social class and, within a social class, the research suggests that the major factor influencing health is level of education. This factor supersedes the importance of ethnicity, gender, or interfamilial relationships.