Med Surg Ch 13 Inflammation and Wound Healing

Card Set Information

Author:
FeverRN
ID:
23369
Filename:
Med Surg Ch 13 Inflammation and Wound Healing
Updated:
2010-06-14 12:53:32
Tags:
med surg inflammation wound healing chapter nclex nursing
Folders:

Description:
Inflammation and wound healing
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user FeverRN on FreezingBlue Flashcards. What would you like to do?


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

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

    A. Activation of the complement system
    B. Release of IL-1, IL-6, and TNF from monocytes
    C. Increased production and activity of neutrophils
    D. Massive vasodilation during the vascular response
    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. Heals by regeneration of epithelial cells
    C. Is classified as a black wound
    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. Lack of adequate blood supply
    C. Weakness of connective tissue
    D. Excess fibrous tissue formation
    D.
    (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. Turn and position the patient every 2 hours
    B. Assess for pain and medicate before dressing change
    C. Pack the ulcer with foam dressing
    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. Has an existing stage I pressure ulcer
    C. Is at risk for developing a pressure ulcer
    D. Is not at risk for developing a pressure ulcer at this time
    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. Vigorously massage reddened bony prominences daily
    B. Keep head of bed elevated to 90 degrees at all times
    C. Implement a q2hr turning schedule
    D. Have the patient maintain a high-fat diet.
    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 II
    B. Stage I
    C. Stage IV
    D. Stage III
    D.
    (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. Neurons
    B. Cardiac muscle
    C. Lymph glands
    D. Skeletal muscle
    C.
    (this multiple choice question has been scrambled)
  11. Chemotaxis is a mechanism that

    A. Slows the blood flow in a damaged area allowing migration of leukocytes into tissue
    B. Involves a pathway of chemical processes resulting in cellular lysis
    C. Causes the transformation of monocytes into macrophages
    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 inflammatory response has been stimulated by infection
    B. Humoral and cell-mediated immunity is being stimulated
    C. Tissue damage has been caused by an allergen-antibody reaction
    D. The inflammation has become chronic with persistent tissue damage
    C.
    (this multiple choice question has been scrambled)
  13. The patient who is at greatest risk for developing pressure ulcers is

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

    A. Using lift sheets and trapeze bars to facilitate patient movement
    B. Repositioning the patient a minimum of every 2 hours
    C. Using pressure-reduction devices
    D. Massaging pressure areas with lotion
    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. Yellow wound
    C. Black wound
    D. Red wound
    D.
    (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. Brushing your teeth
    B. Yellow wound
    C. Black wound
    D. Red wound
    B.
    (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. Black wound
    B. Brushing your teeth
    C. Red wound
    D. Yellow wound
    A.
    (this multiple choice question has been scrambled)
  20. Synthesis of immune factors, blood cells, fibroblasts, collagen

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

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

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

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

    A. Vitamin A
    B. B-complex vitamins
    C. Fats
    D. Vitamin C
    E. Proteins
    F. Carbs
    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. Secondary intention
    B. Brushing your teeth
    C. Primary intention
    D. Tertiary intention
    C.
    (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. Secondary intention
    B. Tertiary intention
    C. Primary intention
    D. Brushing your teeth
    A.
    (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. Secondary intention
    C. Tertiary intention
    D. Brushing your teeth
    C.
    (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. Catarrhal
    B. Fibrinous
    C. Hemorrhagic
    D. Serous
    E. Purulent
    D.
    (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. Serous
    B. Purulent
    C. Hemorrhagic
    D. Fibrinous
    E. Catarrhal
    E.
    (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. Catarrhal
    B. Hemorrhagic
    C. Fibrinous
    D. Purulent
    E. Serous
    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. Fibrinous
    B. Serous
    C. Hemorrhagic
    D. Purulent
    E. Catarrhal
    D.
    (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. Catarrhal
    E. Fibrinous
    C.
    (this multiple choice question has been scrambled)
  36. Cause = hyperemia from vasodilation.

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

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

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

    A. Redness
    B. Swelling
    C. Loss of function
    D. Heat
    E. Pain
    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. Regeneration
    B. Brushing your teeth
    C. Repair
    A.
    (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. Salicylates
    C. Brushing your teeth
    D. NSAIDs
    A.
    (this multiple choice question has been scrambled)
  45. Key concept in treating soft tissue injuries.
    1.
    2.
    3.
    4.
    • Rest
    • Ice
    • Compression
    • Elevation

What would you like to do?

Home > Flashcards > Print Preview