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Practice Question

The nurse is caring for a client with a wound on their leg. During the nurse's assessment, the client explains that he is not feeling well. The nurse knows that a systemic response to a wound infection would be?

Answer Choices:

Correct Answer:

Hyperthermia

Rationale:

🌡️Hyperthermia is a systemic response that indicates the body is fighting an infection through the immune system's inflammatory process.

🦠When a wound becomes infected, pyrogens are released and act on the hypothalamus to increase the body's temperature.

💉This elevation in temperature is part of a widespread reaction, not limited to the site of infection.

🩺In contrast, signs like exudate, pain, or tissue hardening are local responses and do not reflect the body's overall immune activation.

📌Core Message

A systemic infection produces hyperthermia as the immune system activates a whole-body response.

Want to practice more questions like this?

This question is from LPN Med Surg Level 2 Exam which contains 42 questions.

More Questions from This Exam
Which of the following is a common sign of wound sepsis?

Answer Choices:

A. Normal white blood cell count
B. Fever and chills
C. Decreased pain at the wound site
D. Redness and swelling
The nurse is transporting a patient with active tuberculosis (TB) to radiology. Which action should the nurse take?

Answer Choices:

A. Place a N95 mask on the patient.
B. Place a surgical mask on the patient.
C. Be sure the patient is wearing a protective gown.
D. Instruct the patient to wear gloves to radiology.
When performing dressing changes in an older client, what should the nurse assess for?

Answer Choices:

A. Signs of infection
B. Skin color changes
C. Decreased pain levels
D. Changes in blood pressure
From Exam
LPN Med Surg Level 2 Exam

42 Questions

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Question Details
  • Category: LPN Nursing Exams
  • Subcategory: ATI Exams (LPN)
  • Domain: MED-SURG Exams (LPN ati)
  • Answer Choices: 4
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