Ch. 3 Inflammation Flashcards

1
Q

A client undergoing chemotherapy is lethargic and has a temperature of 101.1°F. Blood tests indicate leukopenia, hyperglycemia, and elevated erythrocyte sedimentation rate and C-reactive proteins. Which type of inflammatory manifestations is this client experiencing?

A) Acute
B) Chronic
C) Systemic

A

C) Systemic

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2
Q

Which condition would result in local inflammation?

A) Pneumonia
B) Mild brain concussion
C) Diabetes mellitus type 2
D) Irritable bowel syndrome

A

B) Mild brain concussion

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3
Q

Which terms describe the function of mediators in the inflammatory response? Select all that apply.

A) Phagocytosis
B) Tachycardia
C) Chemotaxis
D) Leukocytosis
E) Alkalosis
F) Vasodilatation

A

A) Phagocytosis
C) Chemotaxis
D) Leukocytosis
F) Vasodilatation

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4
Q

The nurse is monitoring the newly admitted patient for signs and symptoms of deep vein thrombosis and pulmonary embolism. When the patient is prescribed prophylactic anticoagulation medication, the nurse understands that platelet activation occurs due to the production of which substance?

A) Protein
B) Histamine
C) Serotonin
D) Prostaglandins

A

D) Prostaglandins

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5
Q

The inflammatory process is a nonspecific response to noxious stimuli including bacterial invasion and injury. Which are the principal cells of inflammation?

A) Neutrophils, macrophages, lymphocytes, eosinophils, and mast cells
B) Platelets, red blood cells, lymphocytes, and basophils
C) Mast cells, basophils, blast cells, granulocytes, and macrophages
D) Basophils, eosinophils, lymphocytes, platelets, and macrophages

A

A) Neutrophils, macrophages, lymphocytes, eosinophils, and mast cells

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6
Q

The nurse is reviewing the laboratory results for the client with pneumonia and notes that the white blood cell count is continuing to rise. The nurse understands that bacterial endotoxins are triggering leukocytosis and activating which types of cells in the inflammatory process?

A) Neutrophils
B) Platelets
C) Lymphocytes
D) Macrophages

A

A) Neutrophils

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7
Q

During acute inflammation, what describes the primary vascular response that contributes to the development of cardinal signs of inflammation?

A) Increased vascular pressure
B) Release of chemical mediators
C) Vasodilation and increased vascular permeability
D) Vasoconstriction and stagnation of blood flow

A

C) Vasodilation and increased vascular permeability

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8
Q

T/F
A wound created by a narrow surgical incision is likely to heal by secondary intention.

A

False

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9
Q

T/F
During inflammation, blood vessels constrict to minimize tissue damage.

A

False

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10
Q

Severe upper abdominal pain radiating to the back, nausea/vomiting, and elevated levels of serum amylase and lipase are all consistent with the condition acute ___.

A

Pancreatitis

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11
Q

T/F
It is possible to contract acute sinusitis via respiratory droplets from another person.

A

True

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12
Q

Deep partial-thickness and full-thickness burns leave the body open to bacterial invasion, and ___ is the condition in which bacteria gain access to the blood, potentially causing shock.

A

Sepsis

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13
Q

Severe cases of acute gastritis can cause bleeding in the stomach that leads to ___, or vomiting blood.

A

Hematemesis

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14
Q

T/F
Regeneration is the process by which normal tissue architecture is replaced by scar tissue.

A

False

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15
Q

T/F
Fibroblasts are cells that secrete collagen to heal the connective tissue layer associated with a wound.

A

True

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16
Q

___ is a disease characterized by an autoimmune attack on the synovial membranes of joints, resulting in edema and pannus formation

A

Rheumatoid arthritis

17
Q

You get a paper cut and experience pain at the site. This response is related to:
A. Increased perfusion at the site
B. Increased exudate and chemical mediators at the site
C. Bacteria that have entered the wound
D. Vasoconstriction at the site

A

B. Increased exudate and chemical mediators at the site

18
Q

Inflammation is ultimately needed to:
A. Increase inflammatory mediators at the site to vasoconstrict the area
B. Increase platelets at the site for clotting
C. Restore functional cells
D. Prepare the site for healing

A

D. Prepare the site for healing

19
Q

Primary Intention

A

Type of healing where the wound is closed with all areas of the wound connecting and healing simultaneously (ex. paper cut)

20
Q

Secondary Intention

A

Type of healing where the wound heals from the bottom up. Slower and more involved process (ex. open crater-like wound)

21
Q

A wound is 6cm x 6cm x 4cm. A wound with these dimensions needs to heal through:
A. Secondary intention
B. Primary intention
C. Tertiary intention
D. Scar tissue formation

A

A. Secondary intention

22
Q

A major difference between the acute and chronic inflammatory response is that in chronic inflammation:
A. Inflammatory mediators are released
B. Neutrophils are much more prominent
C. Granulomas form around certain invaders
D. Granulation tissue is present

A

D. Granulation tissue is present

23
Q

Which is not a local manifestation of acute inflammation:
A. Edema
B. Redness
C. Loss of function
D. Leukocytes

A

D. Leukocytes

24
Q

The hospitalized burn patient wants to know why you need to remove his dressings every day. You explain that removing the dressings promotes:
A. Debridement
B. Infection
C. Skin function
D. Drying and exudate

A

A. Debridement

25
Q

Which of the following is the most common cause of acute gastritis?
A. Poor gastric perfusion
B. Too much stomach acid
C. Ingestion of aspirin, alcohol, or other chemicals
D. H. Pylori infection

A

D. H. Pylori infection

26
Q

A patient is taking an anti-inflammatory drug for rheumatoid arthritis. What is the most likely action for this drug?

a. Blocks the chemical mediators of inflammation
b. Enhances the body’s immune system
c. Increases blood flow to the tissues
d. Decreases scar formation

A

a. Blocks the chemical mediators of inflammation

27
Q

Which of the following is the most common cause of acute pancreatitis?

a. Cancer
b. Autoimmunity
c. Excess alcohol intake
d. Cystic fibrosis

A

c. Excess alcohol intake

28
Q

Rheumatoid arthritis results in joint immobility as a result of:

a. Synovial fluid loss
b. Pannus formation
c. Rheumatoid factor
d. Joint deviation

A

b. Pannus formation

29
Q

Which of the following meals would you recommend to a patient with a wound to promote healing?

a. Eggs and orange juice
b. Spaghetti and garlic toast
c. Steak and potatoes
d. Tomato soup and grilled cheese

A

a. Eggs and orange juice

30
Q

The nurse is assessing the wound of a postoperative client. The client has a 6-inch abdominal wound that is well approximated and closed with surgical suture. The wound does not display any redness or drainage. The nurse would document the healing process as:

Primary or secondary intention?

A

Primary intention