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:

Task Oriented

Focused on completing tasks and achieving goals, often valuing efficiency and productivity over interpersonal relationships.

Frequent Feedback

The regular and consistent provision of comments, criticisms, and suggestions aimed at improving performance or understanding.

Standards For Performance

The expected levels of achievement or excellence within a particular area.

Babble Effect

A phenomenon in group or network communication where an increase in messages leads to information overload, reducing the overall coherence and effectiveness of communication.