*NURSING > TEST BANK > Osborn, Medical-Surgical Nursing, 2e (All)

Osborn, Medical-Surgical Nursing, 2e

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Chapter 14 Question 1 Type: MCSA While reviewing the white blood cell count differential for a patient, the nurse notes that the basophil count is elevated. What does this laboratory value ind... icate to the nurse? 1. The patient may be experiencing an acute hypersensitivity reaction. 2. The patient has a viral gastrointestinal infection. 3. The patient is fighting a bacterial skin infection. 4. The patient is not responding to a parasitic infection. Correct Answer: 1 Rationale 1: Basophils are not phagocytic and contain proteins and chemicals such as heparin, histamine, bradykinin, serotonin, and leukotrienes that are released into the bloodstream during an acute hypersensitivity reaction or stress response. Rationale 2: Basophils do not respond to viral infections. Rationale 3: Basophils do not respond to bacterial infections. Rationale 4: Basophils increase with parasitic infections, so an increase would indicate a response by thepatient. Question 2 Type: MCMA The nurse would be concerned that a patient is exhibiting signs and symptoms of inflammation after assessing which findings in a leg wound? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Edema 2. Pain 3. Erythema 4. Coolness of tissues 5. Decreased distal pulses Correct Answer: 1,2,3 Rationale 1: Edema results from vasodilation and leaking of fluid into the surrounding tissues.Rationale 2: Pain results from swelling and prostaglandin release. Rationale 3: Erythema is related to vasodilation and is a cardinal sign of inflammation. Rationale 4: Warmth at the site is a sign of inflammation. Rationale 5: Decreased distal pulses are not a typical sign of inflammation. [Show More]

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