what is not an expected assessment finding in a client with inflammation
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Nursing Elites

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. Which finding is not typically associated with inflammation in a client?

Correct answer: C

Rationale: Polyuria is excessive urination and is not a typical assessment finding in inflammation. Inflammation commonly presents with pain (A), heat (B), and erythema (D) which are classic signs of an inflammatory response. Pain results from the release of inflammatory mediators, heat is due to increased blood flow, and erythema is caused by vasodilation and increased blood flow to the area. Polyuria is more likely associated with conditions such as diabetes or renal issues, rather than inflammation.

2. What soft tissue musculoskeletal injury is excessive stretching of a ligament?

Correct answer: A

Rationale: A sprain is an injury involving excessive stretching of a ligament.

3. The quality and risk nurse in the local hospital is performing a hospital survey on sentinel events. Which statements would the nurse use to best describe a sentinel event?

Correct answer: C

Rationale:

4. The client states, "Why am I getting protein supplements while I am healing from a bed sore?"? What is the best response by the nurse?

Correct answer: B

Rationale:

5. What is the term for a ringing in the ears reported by the client?

Correct answer: D

Rationale: Tinnitus is the correct answer. Tinnitus refers to the perception of noise or ringing in the ears. This condition can be constant or intermittent and may be caused by various factors such as exposure to loud noises, ear infections, or underlying health conditions. Choices A, B, and C are incorrect as Weber and Rinne tests are related to hearing assessment, while the pinna is the external part of the ear responsible for collecting sound waves.

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