Please Read the Clinical Scenario, and Then Answer the Question

question 69

Multiple Choice

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format.
Mario is a 35-year-old male who has come into your ER with a laceration to his left hand. According to Mario, he was working on home renovations in his 1945 city bungalow, when an old board fell from a shelf and injured his hand. The laceration is a cut about 3 inches long, but fairly shallow. It appears that it was bleeding pretty heavily, but he has stopped the bleeding by holding pressure on it with an old t-shirt. He said it happened about an hour ago.
-Mario asks you why the laceration is puffy,and has become fairly itchy.What is an accurate response?

• A)"This is a normal response to injury.Blood has rushed to the area,fluid is leaking from the damaged vessels,and chemical mediators called cytokines are causing you to itch."
• B)"This is a normal response to the injury.Your body is building up pressure around the wound to stop the bleeding,and you're probably itchy because the wood had something on it that you are allergic to."
• C)"This is not what I was expecting.I'll call the doctor now to lance the swollen flesh,and in the meantime,I'll apply calamine lotion to the wound."
• D)"This is not what I was expecting.Edema and pruritus are early signs of gangrene.I'll have the doctor start you on antibiotics right away.Also,hold your hand above your heart to decrease blood flow to the area."

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Definitions:

Voluntary

Done, given, or acting of one's own free will without coercion or obligation.

Attachment

The point at which a creditor becomes the secured party that has a security interest in the collateral.

Secured Party

A lender or creditor who has an interest, typically a lien, in the collateral offered by the debtor in a secured transaction.

Collateral

Assets that a borrower offers to a lender to secure a loan, which the lender may seize in the event of loan default.