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NU 608 Porths ch 9, 10,11 Practice Questions and Answers

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NU 608 Porths ch 9, 10,11 Practice Questions and Answers A client has a splinter. The nurse expects a granulomatous inflammatory response. What does this involve? A. Macrophages attacking the splinter in order to dissolve it B. Connective tissue encapsulating and isolating the splinter C. Nor...

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  • October 16, 2024
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NU 608 Porths ch 9, 10,11 Practice
Questions and Answers

A client has a splinter. The nurse expects a granulomatous inflammatory response. What does

this involve?


A. Macrophages attacking the splinter in order to dissolve it


B. Connective tissue encapsulating and isolating the splinter


C. Normal inflammatory mechanisms acting on the splinter


D. Splinter being digested and dissolved - Answer✔✔-B. Granulomatous inflammatory response

to splinter would involve connective tissue encapsulating and isolating it for removal. Each of

the other options is part of normal inflammatory response and would not apply in the situation.


A client recovering from an accident notices that she has developed excess tissue that extends

above the edges of the wound. She asks "What can be


done about this excess tissue?" The nurse responds that it can be removed by which

procedures? Select all that apply.


A. Placing a rubber band around the tissue hanging at the site


B. Surgically removing the excess tissue


C. Placing acid on the wound and allowing it to slough off

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D. Biopsy to make sure it's not a cancer growing


E. Chemically cauterizing the defect - Answer✔✔-B. E. At times, excess of granulation tissue,

sometimes referred to as proud flesh may form and extend above the edges of the wound,

preventing re-epithelialization from taking place. Surgical removal or chemical cauterization of

the defect allows healing to proceed. Acids are sometimes placed on warts. Biopsy not indicated

for excess tissue. Banding is utilized for removal of hemorrhoids.


A continuing education nurse in a long-term care facility is discussing wound healing in older

adult clients. Because older adult clients are more likely to


have comorbidities like problems with mobility, diabetes, or vascular problems, the nurse

should assess the clients for which problems? Select all that


apply.


A. Impaired healing related to diabetes


B. Ischemic ulcer formation in feet


C. Pressure wounds on buttocks


D. Skinned knees from bumping into doors


E. Facial lacerations related to shaving - Answer✔✔-A. B. C. Older adults are more viable to

chronic wounds. Chiefly pressure, diabetic, and ischemic ulcers more so than younger persons

in these ones heal more slowly. These ones are more likely due to other disorders such as

immobility, diabetes, or vascular disease rather than aging



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Which statements are true regarding chronic inflammation? Select all that apply.


A. The inflammatory agent is usually resistant to phagocytosis.


B. It involves the presence of mononuclear cells like lymphocytes.


C. It is usually a result of persistent irritants.


D. Granulocytes are generally observed at sites of chronic inflammation.


E. The condition is self-limiting in nature. - Answer✔✔-A. B. C.


In contrast to acute inflammation, which is self-limiting, chronic inflammation is prolonged and

usually caused by persistent irritant, most of which are insoluble and resistant to phagocytosis

or other inflammatory mechanisms. Chronic information involves a presence of mono nuclear

cells such as lymphocytes and macrophages rather than granulocytes.


Which statements are true regarding the contraction and remodeling of a wound? Select all that

apply.


A. This phase demonstrates an increase in tissue vascularity.


B. This phase can take up to 6 months or longer to complete.


C. The scar site generally has less tensile strength than surrounding tissue.


D. This phase generally begins about 3 weeks after the injury.


E. The development of a fibrous scar is important to the success of the process. - Answer✔✔-B.

C. D. E.



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A client arrives with a large calf burn from contact with a motorcycle exhaust pipe. Inspection

reveals the epidermis and dermis layers are affected with


associated pain, redness, swelling, and blistering. What type of wound repair/healing will the

nurse explain to this client?


A. Wound healing will have to undergoe several phases of remodeling.


B. Healing will occur by primary intention.


C. Healing will occur by secondary intention.


D. Healing will occur by teritary intention. - Answer✔✔-C. Larger wounds like burns have greater

loss of tissue and contamination; therefore, they heal by secondary intention. Healing by

secondary intention is slower than healing by primary intention and results in the formation of

larger amounts of scar tissue.


Which condition is an example of wound healing by secondary intention?


A. Sacral skin tear closed with Steri-Strip


B. An infected burn of the arm


C. Abdominal wound with staples


D. Leg laceration with sutures - Answer✔✔-B.Rationale:


A sutured surgical incision is an example of healing by primary intention. Larger wounds (e.g.,

burns and large surface wounds) that have a greater loss of




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