Lewis Med-Surg Ch. 11 Inflammation and Wound Healing Exam Practice Questions and Answers
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Course
Lewis Medical-Surgical Nursing
Institution
Lewis Medical-Surgical Nursing
Lewis Med-Surg Ch. 11 Inflammation and Wound
Healing Exam Practice Questions and Answers
The nurse assesses a patient's surgical wound on the first postoperative day and notes redness and
warmth around the incision. Which action by the nurse is appropriate?
a. Obtain wound cultures. c. Notify t...
d. Redress the wound with wet-to-dry dressings. - Ans:✔✔-ANS: A
The increase in WBC count with the increased bands (shift to the left) indicates that the patient probably
has a bacterial infection, and the nurse should obtain wound cultures. Antibiotic therapy and/or dressing
changes may be started, but cultures should be done first. The nurse will continue to monitor the
wound, but additional actions are needed as well.
DIF: Cognitive Level: Analyze (analysis)
A patient with a systemic bacterial infection feels cold and has a shaking chill. Which assessment finding
will the nurse expect next?
a. Skin flushing c. Rising body temperature
b. Muscle cramps d. Decreasing blood pressure - Ans:✔✔-ANS: C
The patient's complaints of feeling cold and shivering indicate that the hypothalamic set point for
temperature has been increased and the temperature is increasing. Because associated peripheral
vasoconstriction and sympathetic nervous system stimulation will occur, skin flushing and hypotension
are not expected. Muscle cramps are not expected with chills and shivering or with a rising temperature.
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