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NUR 213 Infection: Questions & Verified Answers

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NUR 213 Infection: Questions & Verified Answers

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  • August 25, 2024
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NUR 213 Infection: Questions & Verified Answers

Infection Right Ans - Infection is the invasion and multiplication of
microorganisms in body tissues, which may be unapparent or the result of
local cellular injury caused by competitive metabolism, toxins, intracellular
replication, or antigen-antibody response.

Uncontrolled Infections Right Ans -

Local response Right Ans - Redness, edema, pain, warmth, tenderness

Systemic response Right Ans - Fever malaise anorexia vomiting
Aches

The patient has inflammation and is complaining of malaise, nausea, and
anorexia. The nurse explains to the patient that these manifestations are
related to inflammation in what way?
A. Local response
B. Systemic response
C. Infectious response
D. Acute inflammatory response Right Ans - B

At risk Right Ans - Infections potentially affect all individuals, regardless of
age, gender, race, and socioeconomic status.

Populations at greatest risk are the:
Very young- poor immune systems

Poor- may not get treated early, exposed to more pathogens

Uninsured- not getting early care

Residents of geographic areas where an infection is prevalent-ex outbreaks
like Ebola etc

Tests Right Ans - Laboratory tests
Complete Blood Count (with WBC differential)

,Culture and sensitivity- look at exactly what organism is causing the infection
C-reactive protein (CRP)
Erythrocyte sedimentation rate (ESR)
Serologic tests to detect specific antibodies or viruses

Radiographic studies
X-rays- good for pneumonia
MRI
CAT

Erythrocyte sedimentation rate (ESR) Right Ans - The erythrocyte
sedimentation rate (ESR) test is a nonspecific measurement of inflammation
and infection in the body.

Adult (Westergren Method)

Male: 0-15 mm/hr

Female: 0-20 mm/hr

C-reactive protein (CRP) Right Ans - C-reactive protein (CRP) is a marker
for inflammation. It is produced by the liver and increases in response to
tissue inflammation or injury.

Standard CRP: <1 mg/dL or SI: <10 mg/L

High-sensitivity CRP: <1-10 mg/dL or SI: <1-10 mg/L

The nurse determines that the patient may be suffering from an acute
bacterial infection based upon which laboratory test result?

A. Increased platelet count
B. Increased blood urea nitrogen
C. Increased number of band neutrophils
D. Increased number of segmented myelocytes Right Ans - C

Management Right Ans - Most common infection screenings:
Sexually transmitted infection in high-risk groups
Tuberculosis screening in high-risk groups- ex nurses

, Antimicrobial therapy- for many bacterial infections
Rest and comfort care measures
Nutritional support- high calories, balanced diet
Fluids
Disinfection of physical environment

Antimicrobiales
Look over for test Right Ans - Penicillin
Cephalosporins
First, second, third, fourth & fifth generation
Fluoroquinolones
Sulfonamides
Lincosamides
Tetracyclines
Macrolides
Aminoglycosides
Antivirals

Penicillin Right Ans -

Types of otitis media Right Ans - 2 types
Acute otitis media (AOM)
Otitis media with effusion (OME)

Effusion- fluid in the middle ear
Fluid does not always indicate infection

Effusion Right Ans - There is fluid in the middle ear behind the tympanic
membrane. There is no infection there is just fluid. It will not be red and
bulging

Otitis media with effusion Right Ans - OME differs from AOM in that there
are no signs of acute infection

There is an accumulation of fluid behind the tympanic membrane

The tympanic membrane appears retracted and either dull gray or yellow, and
an air-fluid level

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