Which techniques can the nurse use for collecting patient assessment data?

Performing a general assessment Speaking with the patient's family Consulting the patient's medical file Performing the physical assessment Obtaining a thorough history

Which objective patient findings alert the nurse to the presence of infection or the risk for infection

Pressure injuries Enlarged lymph nodes Hyperactive bowel sounds Decreased breath sounds

Which blood test specifically assesses for the presence of an active inflammatory response?

Erythrocyte sedimentation rate (ESR)

Which laboratory finding is abnormal and must be reported to the health care provider?

Serum complement 140 hemolytic units

Which symptoms are consistent with a chronic inflammatory disorder?

Pain and swelling of the knees from arthritis

Which patient has the most risk factors for developing an infection?

70-year-old with diabetes and an indwelling urinary catheter

Which manifestations indicate systemic infection and warrant further patient assessment?

Temperature 101.3°F (38.5°C) orally Heart rate 122 beats/min

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concepts of nursing

Infection: Assess and Recognize Cues

Question	Answer
Which techniques can the nurse use for collecting patient assessment data?	Performing a general assessment Speaking with the patient's family Consulting the patient's medical file Performing the physical assessment Obtaining a thorough history
Which data collected during the nurse-patient interview is a subjective finding?	Fatigue
Which objective patient findings alert the nurse to the presence of infection or the risk for infection	Pressure injuries Enlarged lymph nodes Hyperactive bowel sounds Decreased breath sounds
Which blood test specifically assesses for the presence of an active inflammatory response?	Erythrocyte sedimentation rate (ESR)
Which laboratory finding is abnormal and must be reported to the health care provider?	Serum complement 140 hemolytic units
Which symptoms are consistent with a chronic inflammatory disorder?	Pain and swelling of the knees from arthritis
Which patient has the most risk factors for developing an infection?	70-year-old with diabetes and an indwelling urinary catheter
Which finding would lead the nurse to conclude that a patient’s surgical incision that was inflamed is now infected?	Greenish drainage
Which manifestations indicate systemic infection and warrant further patient assessment?	Temperature 101.3°F (38.5°C) orally Heart rate 122 beats/min

Created by: colby.caswell

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