2. Mary Turner stepped on a nail 5 days ago and sustained a puncture about 1 inc

Question

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 Marys foot. b. What is the role of histamine and kinins in the inflammatory process? c. Which of the five cardinal signs of inflammation does Mary exhibit? d. Because Mary's injury occurred 5 days ago, the nurse should assess for what systemic effects?

Explanation / Answer

a. Events caused by local inflammation in marys foot

She experienced pain then it becomes red and edematous means swelling should be there.

b.histamin and kinin released by damaged cells. It causes vasodilation and increased permeability of blood vessels.

c. Five cardinal signs of inflammation

Rubor(redness)

Calor(increased heat)

Tumor(swelling)

Dolor(pain)

Functio laesa(loss of function)

d.we should check for any remants of nail and should check for systemic disease like diabetes etc.because in this condition wound does not heal faster.

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