The nurse is caring for a client with a wound on their leg. During the nurse's assessment, the client explains that he is not feeling well. The nurse knows that a systemic response to a wound infection would be?
Exudate
Pain
Hyperthermia
Hardening of the tissue
The Correct Answer is C
A. Exudate: Exudate refers to the fluid, such as pus or serum, that is discharged from a wound.
While exudate may be present in infected wounds, it is not a systemic response.
B. Pain: Pain is a localized response to tissue injury and may be present in infected wounds, but it is not a systemic response.
C. Hyperthermia: Hyperthermia, or an elevated body temperature (fever), is a common systemic response to infection, including wound infections. It indicates the body's immune response to the infection.
D. Hardening of the tissue: Hardening of the tissue, known as induration, may occur in infected wounds due to inflammation but is not a specific systemic response.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Utilizing a friend's computer keyboard: Indirect transmission occurs when pathogens are transmitted via inanimate objects, such as keyboards, doorknobs, or utensils. If the friend's computer keyboard is contaminated with pathogens, the patient could contract an illness by touching it.
B. Talking directly to someone coughing: This is an example of direct transmission, where pathogens are transmitted through close contact with an infected person's respiratory secretions.
C. Standing next to a person with a varicella (chickenpox) infection: This is an example of direct transmission, as varicella is spread through respiratory droplets.
D. Walking past an individual coughing and sneezing: This is also an example of direct transmission, as respiratory droplets containing pathogens can land on the nurse and lead to infection if inhaled or touched.
Correct Answer is B
Explanation
A. Amoxicillin: Amoxicillin is a penicillin-type antibiotic effective against susceptible bacteria, but it is not effective against MRSA because MRSA is resistant to penicillin and related antibiotics.
B. Vancomycin hydrochloride: Vancomycin is a glycopeptide antibiotic commonly used to treat MRSA infections due to its effectiveness against MRSA strains. It is considered one of the first-line antibiotics for treating severe MRSA infections.
C. Fluconazole: Fluconazole is an antifungal medication used to treat fungal infections such as candidiasis. It is not effective against bacterial infections like MRSA.
D. Abreva: Abreva is an over-the-counter medication used to treat cold sores caused by the herpes simplex virus. It is not effective against bacterial infections like MRSA.
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