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Medical Surgical Nursing Chapter 12


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Physiologic hyperplasia is commonly found in
A. a distended urinary bladder.
B. the female breast during lactation.
C. the bronchi of a chronic cigarette smoker.
D. an enlarged myocardium in congestive heart failure.
the female breast during lactation.
When radiation therapy is used in the treatment of cancer, the desired effect is death of cancer cells by
A. altering cellular metabolism and activity.
B. producing mutations that interfere only with cancer cell function.
C. accelerati
altering cellular metabolism and activity.
A common cause of coagulation necrosis is
A. autophagocytosis.
B. pulmonary embolus.
C. malignant brain tumor.
D. peripheral vascular disease.
pulmonary embolus.
A patient with an impaired mononuclear phagocyte system will have
A. increased circulation of histamine.
B. decreased susceptibility to infection.
C. decreased vascular response to cell injury.
D. decreased surveillance for damag
decreased surveillance for damaged or mutated cells.
The role of the complement system in opsonization affects which response of the inflammatory process?
A. healing
B. cellular
C. vascular
D. formation of exudate
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 d
release of IL-1, IL-6, and TNF from monocytes.
A patient has an open, infected surgical wound that is treated with irrigations and moist gauze dressings. The nurse expects that this wound
A. is classified as a black wound.
B. has to heal by tertiary intention.
C. heals by regenerat
heals by the same processes as an uninfected deep wound.
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.
excess fibrous tissue formation.
Rest and immobilization are important measures of acute care for wound healing because they
A. decrease the inflammatory response.
B. increase the circulation to the affected area.
C. increase the body’s production of corticosteroids
decrease the inflammatory response.
An 85-year-old patient is assessed to have a score of 15 on the Braden scale. This means that the patient
A. has an existing stage I pressure ulcer.
B. is at risk for developing a pressure ulcer.
C. is in need of a daily pressure ulcer
is at risk for developing a pressure ulcer.
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. implement a q2hr turning schedule.
B. have the patient maintain a high-fat
implement a q2hr turning schedule.
An 82-year-old man who is being cared for at home by his family has a 1 cm wide by 2 cm long pressure ulcer. The wound is shallow, measuring 0.5 cm in depth, and pink tissue is completely visible on the wound bed. This pressure ulcer should be documented
stage II.
Which one of the following 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. turn and position the patient every 2 hours
C. clean the ulcer
clean the ulcer every shift with Dakin’s solution

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