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

Answer and Explanation

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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["2"]

Explanation

1. Identify the ordered dose: The doctor has prescribed 250 mg of vancomycin.

2. Determine the strength available: Each vancomycin capsule contains 125 mg.

3. Calculate the number of capsules needed: Divide the ordered dose by the strength per capsule (250 mg ÷ 125 mg/capsule).
= 2 capsules

A. Perform hand hygiene before, during, and after direct contact with the client B. Encourage the client to consume a diet high in protein C. Change the client's bed linens each day D. Place the client in a room with positive pressure airflow

Correct Answer is A

Explanation

A. Perform hand hygiene before, during, and after direct contact with the client: Hand hygiene is one of the most effective strategies to interrupt the transmission of infections. It helps prevent the spread of pathogens from one person to another, reducing the risk of healthcare-associated infections.
B. Encourage the client to consume a diet high in protein: While proper nutrition is important for overall health and immune function, it does not directly address the transmission of the client's infection.

C. Change the client's bed linens each day: Changing bed linens regularly is important for maintaining cleanliness and comfort but is not sufficient to interrupt the transmission of infection.

D. Place the client in a room with positive pressure airflow: Positive pressure airflow rooms are typically used for patients with compromised immune systems to protect them from airborne pathogens. This strategy is not applicable for all types of infections and may not be necessary for every client with an infection.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer vancomycin 250 mg PO. The amount available is vancomycin 125 mg/ capsule. How many capsules should the nurse administer to the client with each dose? (Round to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2"]

Explanation

A nurse is caring for a client who has an infection. The nurse should use which of the following strategies to interrupt the transmission of the client's infection?

Correct Answer is A

Explanation

A nurse is caring for a client who has developed a Clostridium difficile (C. diff) infection following antibiotic therapy. Which of the following actions should the nurse take?

Which of the following assessments should be performed to monitor for impaired tissue integrity?

A nurse in a provider's office is collecting data from a client who has skin lesions. The nurse notes that the lesions are 2.5 cm in size, elevated, solid, and deep. The nurse should document the findings as which of the following skin lesions?

The nurse is taking care of a patient diagnosed with Methicillin-Resistant Staphylococcus Aureus (MRSA). The nurse knows that this disease is difficult to treat and has a high mortality rate. Which medication would the nurse expect to be ordered to treat this infection?

A nurse is reinforcing teaching with a client about treatment of Methicillin-Resistant Staphylococcus Aureus (MRSA). Which of the following information should the nurse include in the teaching?

A nurse is caring for an older client and educating the student nurse on assessing the skin. The student nurse knows that an older client's skin is most likely to experience which of the following changes with aging?

Which of the following is an example of a reservoir in the chain of infection?

A nurse is assisting in the plan of care for a client showing signs of pneumonia. Which of the following nursing actions should be included?