NUR111Exam4

Question 2

_________: is a vascular response to injury, infection, or irritation, and protects against invading foreign proteins.

Answer 2

Inflammation

Question 3

What occurs in the 1st stage of inflammation?

Answer 3

Vascular/Cellular response: First Vasoconstriction, then release of histamines, kinins, and prostagladins that dialate vessels and contract smooth muscle.Edema and pain; Leukocytosis and Phagocytosis begin

Question 4

What occurs in the 2nd & 3rd stages of inflammation?

Answer 4

2nd: Exudate (Drainage) Production; accumulation of fluid/necrotic tissue.3rd: Tissue Repair

Question 5

—-Drainages—-What are drainages called that are?-Clear-Bloody-Clear & Bloody-Puss

Answer 5

-C: Serous-B: Sanguineus-C&B: Seroussanguineus-P: Purulent

Question 6

Edema, Erythema (Redness), warmth, pain/tenderness, and loss of function all signify what type of inflammation?

Answer 6

Local Inflammation

Question 7

↑or↓ temp, Tachycardia, Tachypnea, Malaise, anorexia, N/V, Enlarged lymph nodes and in extreme cases organ failure all signify what type of inflammation?

Answer 7

Systemic Inflammation

Question 8

An anti-inflammatory/NSAID agent who’s adverse reactions include: Myocardial infarction, stroke, thrombosis, G.I. bleeding, exfoliative dermatitis, Stevens-Johnson syndrome (toxic epidermal necrolysis)

Answer 8

Celebrex

Question 9

___________: Reduced hormone release r/t Long term corticosteroid use.

Answer 9

Cushings Syndrome

Question 10

What’s the first med to start with for inflammation?

Answer 10

Acetaminophen

Question 11

Ibuprofen, naproxen, asprin, and celebrex are all what kind of drug?

Answer 11

NSAIDS

Question 12

________: Inflammation of the skin that is signified by erythema, pruitis, pain, and scaly oozing lesions r/t allergies, irritants, or poison ivy/oak.

Answer 12

Contact Dermatitis

Question 13

4 phases of normal wound healing? & their basic function?

Answer 13

Hemostasis: Vasoconstriction/clot formationInflammation: Vasodilation. Neutrophils destroy dying cells, and macrophages produce growth factors.Proliferation: Collagen formation/angiogenesisMaturation: Remodeling

Question 14

What is healing by Primary, Secondary, and Tertiary intention?

Answer 14

P: Good/NormalS: Gets infected; healing occurs in open woundT: Delayed primary; Infection cleared then sent back to be closed and treated as primary

Question 15

When measuring a wound use the “image” of a ______ to determine length and width.

Answer 15

Clock12-6/head-toe= Length9-3/arm-arm= Width

Question 16

________separation of edges of wound from body.

Answer 16

Dehiscence

Question 17

4 stages of infection?

Answer 17

IPAC-incubation; replication-Prodromal; Nonspecific symptoms-Acute: Symptoms/Pathogen proliferation-Convalescent; Recovery

Question 18

Fever, ↓ LOC, & ↑WBC all tell signs of what?

Answer 18

Infection; systemic-May cause confusion, agitation, and incontinence in older adults. AND may not have fever due to current Meds.

Question 19

_________: Generalized infection involving deep connective tissue; Erythema, warm, edema, tenderness/pain, fever, blisters, tender regional lymph nodes.

Answer 19

Cellulitis

Question 20

___[1]___ UTI: Dysuria, Urgency, strong smelling and cloudy urine, hematuria, pain.___[2]___UTI: High fever, chills, abdominal/flank pain, vomiting, dehydration

Answer 20

1: Lower UTI2: Upper UTI

Question 21

What are the six aims/Dimensions of quality? STEEP

Answer 21

SafeTimelyEffectiveEfficientEquitablePatient Centered

Question 22

___________: An error that could have caused harm but did not.

Answer 22

Near Miss event

Question 23

___________: Errors that result in moderate to severe harm

Answer 23

Adverse Event

Question 24

___________: An adverse event when a patient dies or has a serious/undesirable and largely avoidable outcome as a result of a medical error.

Answer 24

Sentinel Event