Question

A nurse is working in a community health center and is caring for a 5-year-old child who was diagnosed as having a right ear infection. When collecting the nursing history, the mother states the child has had a fever to 102°F for 2 days, has been irritable, and complained of feeling tired. The child has been drinking fluids well but not eating. The physician describes the tympanic membrane as erythematous (reddening of skin), bulging with fluid levels, and dull.

1. Which of the clinical manifestations given are associated with a localized inflammatory response? What physiological factors are responsible for the development of these manifestations?

2. Which of the above manifestations are related to a systemic response to the infection?

Answer 1

Ans)1) They also contribute to the five observable signs associated with the inflammatory response: erythema (redness), edema (swelling), heat, pain, and altered function. Vasodilation and increased vascular permeability are also associated with an influx of phagocytes at the site of injury and/or infection.

2) Systemic inflammatory response syndrome (SIRS) is an inflammatory state affecting the whole body. It is the body's response to an infectious or noninfectious insult.

- Fever 102°F , tympanic membrane as erythematous (reddening of skin), bulging with fluid levels, and dull are all systemic response to infection.