Med Surg Ch 13 Inflammation and Wound Healing

The flashcards below were created by user FeverRN on FreezingBlue Flashcards.

  1. The role of the complement system in opsonization affects which response of the inflammatory process?

    A. Healing
    B. Vascular
    C. Cellular
    D. Formation of exudate
    C.
    (this multiple choice question has been scrambled)
  2. Fever that accompanies inflammation is most likely caused by

    A. Massive vasodilation during the vascular response
    B. Release of IL-1, IL-6, and TNF from monocytes
    C. Increased production and activity of neutrophils
    D. Activation of the complement system
    B.
    (this multiple choice question has been scrambled)
  3. A patient has an open, infected surgical wound that is treated with irrigations and moist gauze dressings. The nurse expects that this wound

    A. Heals by the same processes as an uninfected deep wounded
    B. Is classified as a black wound
    C. Heals by regeneration of epithelial cells
    D. Has to heal by tertiary intention
    A.
    (this multiple choice question has been scrambled)
  4. Contractures frequently occur after burn healing because of

    A. Secondary infection
    B. Excess fibrous tissue formation
    C. Lack of adequate blood supply
    D. Weakness of connective tissue
    B.
    (this multiple choice question has been scrambled)
  5. Rest and immobilization are important measures of acute care for wound healing because they

    A. Increase the body's production of corticosteroids
    B. Decrease the inflammatory response
    C. Increase the circulation of the affected area
    D. Are known mechanisms to increase cytokine production
    B.
    (this multiple choice question has been scrambled)
  6. Which one of the followiing orders should a nurse question as part of the plan of care for a patient with a stage III pressure ulcer?

    A. Pack the ulcer with foam dressing
    B. Assess for pain and medicate before dressing change
    C. Turn and position the patient every 2 hours
    D. Clean the ulcer every shift with Dakin's solution
    D.
    (this multiple choice question has been scrambled)
  7. An 85-year-old patient is assessed to have a score of 15 on the Braden scale. This means that the patient

    A. Is in need for a weekly pressure ulcer risk assessment
    B. Is not at risk for developing a pressure ulcer at this time
    C. Is at risk for developing a pressure ulcer
    D. Has an existing stage I pressure ulcer
    C.
    (this multiple choice question has been scrambled)
  8. A 65-year-old stroke patient who is confined to bed is assessed to be at risk for the development of a pressure ulcer. Based on this information, the nurse should

    A. Have the patient maintain a high-fat diet.
    B. Keep head of bed elevated to 90 degrees at all times
    C. Implement a q2hr turning schedule
    D. Vigorously massage reddened bony prominences daily
    C.
    (this multiple choice question has been scrambled)
  9. A pressure ulcer measures 1cm x 2cm x 0.8cm in depth, and pink tissue is visible on the wound bed. This pressure ulcer is

    A. Stage III
    B. Stage IV
    C. Stage II
    D. Stage I
    A.
    (this multiple choice question has been scrambled)
  10. During the healing phase of inflammation, regeneration of cells would be most likely to occur in

    A. Lymph glands
    B. Skeletal muscle
    C. Cardiac muscle
    D. Neurons
    A.
    (this multiple choice question has been scrambled)
  11. Chemotaxis is a mechanism that

    A. Causes the transformation of monocytes into macrophages
    B. Involves a pathway of chemical processes resulting in cellular lysis
    C. Slows the blood flow in a damaged area allowing migration of leukocytes into tissue
    D. Attracts the accumulation of neutrophils and monocytes to an area of injury
    D.
    (this multiple choice question has been scrambled)
  12. A patient with an inflammation has a high eosinophil count. The nurse recognizes that this finding most likely indicates that

    A. The inflammation has become chronic with persistent tissue damage
    B. Humoral and cell-mediated immunity is being stimulated
    C. The inflammatory response has been stimulated by infection
    D. Tissue damage has been caused by an allergen-antibody reaction
    D.
    (this multiple choice question has been scrambled)
  13. The patient who is at greatest risk for developing pressure ulcers is

    A. A 30-year-old man who is comatose following a head injury
    B. A 42-year-old obese woman with type 2 diabetes
    C. A 65-year-old woman who has urge and stress incontinence
    D. A 78-year-old man who is confused and malnourished
    A.
    (this multiple choice question has been scrambled)
  14. The most important nursing intervention for the prevention and treatment of pressure ulcers is

    A. Using pressure-reduction devices
    B. Repositioning the patient a minimum of every 2 hours
    C. Massaging pressure areas with lotion
    D. Using lift sheets and trapeze bars to facilitate patient movement
    B.
    (this multiple choice question has been scrambled)
  15. First leukocytes to arrive at the site of inflammation.
    Neutrophils
  16. A sequential reaction to cell injury.
    Inflammatory response
  17. Can be a superficial or deep wound if it is clean and pink in appearance. Examples include skin tears, pressure ulcers (stage II), partial-thickness or second-degree burns, and wounds created surgically that are allowed to heal by secondary intention.

    A. Brushing your teeth
    B. Red wound
    C. Black wound
    D. Yellow wound
    B.
    (this multiple choice question has been scrambled)
  18. Has nonviable necrotic tissue, which creates an ideal situation for bacterial growth and therefore must be removed.

    A. Yellow wound
    B. Red wound
    C. Black wound
    D. Brushing your teeth
    A.
    (this multiple choice question has been scrambled)
  19. Covered with thick, dry, black necrotic tissue called eschar. Examples include full-thickness or third-degree burns, pressure ulcers (stage III and IV), and gangrenous ulcers.

    A. Yellow wound
    B. Red wound
    C. Brushing your teeth
    D. Black wound
    D.
    (this multiple choice question has been scrambled)
  20. Synthesis of immune factors, blood cells, fibroblasts, collagen

    A. Carbs
    B. Vitamin C
    C. Proteins
    D. Vitamin A
    E. B-complex vitamins
    F. Fats
    C.
    (this multiple choice question has been scrambled)
  21. Provide metabolic energy for inflammation; protect protein from being used for energy

    A. Vitamin C
    B. Fats
    C. B-complex vitamins
    D. Vitamin A
    E. Proteins
    F. Carbs
    F.
    (this multiple choice question has been scrambled)
  22. Synthesis of fatty acids and triglycerides used for cellular membranes

    A. Proteins
    B. B-complex vitamins
    C. Fats
    D. Vitamin A
    E. Carbs
    F. Vitamin C
    C.
    (this multiple choice question has been scrambled)
  23. Capillary and collagen synthesis

    A. Carbs
    B. Proteins
    C. B-complex vitamins
    D. Fats
    E. Vitamin A
    F. Vitamin C
    F.
    (this multiple choice question has been scrambled)
  24. Coenzymes for fat, protein, and carb metabolism

    A. Fats
    B. Proteins
    C. Carbs
    D. Vitamin C
    E. Vitamin A
    F. B-complex vitamins
    F.
    (this multiple choice question has been scrambled)
  25. Epithelial synthesis, increasing collagen synthesis and tensile strength of healing wound

    A. Vitamin A
    B. Proteins
    C. Vitamin C
    D. Fats
    E. Carbs
    F. B-complex vitamins
    A.
    (this multiple choice question has been scrambled)
  26. Healing takes place when wound margins are neatly approximated, such as in a surgical incision or a paper cut.

    A. Tertiary intention
    B. Primary intention
    C. Secondary intention
    D. Brushing your teeth
    B.
    (this multiple choice question has been scrambled)
  27. Wounds that occur from trauma, ulceration, and infection have large amounts of exudate and wide, irregular wound margins with extensive tissue damage. These wounds may have edges that are approximated.

    A. Tertiary intention
    B. Secondary intention
    C. Brushing your teeth
    D. Primary intention
    B.
    (this multiple choice question has been scrambled)
  28. Delayed primary intention. Healing occurs with delayed suturing of a wound in which two layers of granulation tissue are sutured together.

    A. Primary intention
    B. Brushing your teeth
    C. Secondary intention
    D. Tertiary intention
    D.
    (this multiple choice question has been scrambled)
  29. Arrive later at the site of injury. Their primary role is related to humoral and cell-mediated immunity.
    Lymphocytes
  30. Increased blood flow in the area.
    Hyperemia
  31. Results from outpouring of fluid that has low cell and protein content; seen in early stages of inflammation or when injury is mild. (examples = skin blisters, pleural effusion)

    A. Serous
    B. Purulent
    C. Catarrhal
    D. Fibrinous
    E. Hemorrhagic
    A.
    (this multiple choice question has been scrambled)
  32. Found in tissues where cells produce mucus. Mucus production is accelerated by inflammatory response. (examples = runny nose associated with upper respiratory tract infection)

    A. Purulent
    B. Serous
    C. Fibrinous
    D. Catarrhal
    E. Hemorrhagic
    D.
    (this multiple choice question has been scrambled)
  33. Occurs with increasing vascular permeability and fibrinogen leakage into interstitial spaces. Excessive amounts of fibrin coating tissue surfaces may cause them to adhere. (examples = adhesions)

    A. Serous
    B. Purulent
    C. Fibrinous
    D. Hemorrhagic
    E. Catarrhal
    C.
    (this multiple choice question has been scrambled)
  34. Consists of WBCs, microorganisms (dead and alive), liquefied dead cells, and other debris. (example = furuncle, abscess, cellulitis)

    A. Purulent
    B. Catarrhal
    C. Fibrinous
    D. Serous
    E. Hemorrhagic
    A.
    (this multiple choice question has been scrambled)
  35. Results from rupture or necrosis of blood vessel walls; it consists of RBCs that escape into tissue. (example = hematoma).

    A. Serous
    B. Purulent
    C. Hemorrhagic
    D. Fibrinous
    E. Catarrhal
    C.
    (this multiple choice question has been scrambled)
  36. Cause = hyperemia from vasodilation.

    A. Pain
    B. Swelling
    C. Redness
    D. Loss of function
    E. Heat
    C.
    (this multiple choice question has been scrambled)
  37. Cause = increased metabolism at inflammatory site.

    A. Heat
    B. Swelling
    C. Redness
    D. Loss of function
    E. Pain
    A.
    (this multiple choice question has been scrambled)
  38. Cause = change in pH; change in local ionic concentraion; nerve stimulation by chemicals; pressure from fluid exudate

    A. Heat
    B. Swelling
    C. Pain
    D. Loss of function
    E. Redness
    C.
    (this multiple choice question has been scrambled)
  39. Cause = fluid shift to interstitial spaces; fluid exudate accumulation.

    A. Heat
    B. Redness
    C. Pain
    D. Swelling
    E. Loss of function
    D.
    (this multiple choice question has been scrambled)
  40. Cause = swelling and pain.

    A. Redness
    B. Swelling
    C. Loss of function
    D. Pain
    E. Heat
    C.
    (this multiple choice question has been scrambled)
  41. Immature connective tissue cells that migrate into the healing site and secrete collagen.
    Fibroblasts
  42. Replacement of lost cells and tissues with cells of the same type.

    A. Repair
    B. Brushing your teeth
    C. Regeneration
    C.
    (this multiple choice question has been scrambled)
  43. Healing as a result of lost cells being replaced by connective tissue.

    A. Brushing your teeth
    B. Repair
    C. Regeneration
    B.
    (this multiple choice question has been scrambled)
  44. Interfere with tissue granulation, induce immunosuppressive effects, prevent liberation of lysosomes.

    A. Corticosteroids
    B. Brushing your teeth
    C. NSAIDs
    D. Salicylates
    A.
    (this multiple choice question has been scrambled)
  45. Key concept in treating soft tissue injuries.
    1.
    2.
    3.
    4.
    • Rest
    • Ice
    • Compression
    • Elevation
Author:
FeverRN
ID:
23369
Card Set:
Med Surg Ch 13 Inflammation and Wound Healing
Updated:
2010-06-14 16:53:32
Tags:
med surg inflammation wound healing chapter nclex nursing
Folders:

Description:
Inflammation and wound healing
Show Answers: