c. What nursing interventions shoul d be used to promote éfféctive esping olhe p
ID: 237737 • Letter: C
Question
c. What nursing interventions shoul d be used to promote éfféctive esping olhe patient and his family? 2. Mary Turner stepped on a nail 5 days ago and sustained a puncture about 1 inch deep. She immediately cleaned the area with soap and water and hydrogen peroxide, and applied triple antibiotic ointment to the site. Today she comes to the clinic with complaints of increased pain and swelling in her foot. On assessment, the nurse notes that the puncture site is red and edematous, and has a moderate amount of yellowish drainage. (Learning Objective 9) a. Describe the sequence of events that caused the local inflammation seen in Mary's foot What is the role of histamine and kinins in the inflammatory process? Which of the five cardinal signs of inflammation does Mary exhibit? b. c.Explanation / Answer
ANSWER 1) Puncture wound can become infected as the nail may carry bacteria or spores which may lead to tetanus. This bacteria and spores are antigens which triggers the body's defense mechanism. In response to this defense mechanism, the antibodies are formed. Thus inflammation is body's response to an injury which is the first step towards healing. There is collection of fluid which causes swelling and white blood cells.
ANSWER 2) During inflammation different immune cells are involved. Various chemicals called inflammatory mediators are released. These includes tissue hormones bradykinin and histamine. They cause the narrow blood vessel to expand (vasodilation) and increases the permeability of blood vessels that allows increased blood flow to the injured area . This makes the inflamed area red and hot.
ANSWER 3) The five cardinal signs that Mary exhibits is redness, heat, swelling,pain and loss of function. The loss of function occurs as the inflammed limb cannot be moved properly. These five cardinal signs are seen in all types of inflammation.
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