Examines how the body responds to injury and infection by exploring the first, second, and third lines of defense.

nursing2APathophysiology

You need to have the book or find the material online for this order. Thank you!
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Readings
Huether, S. E., & McCance, K. L. (2012). Understanding pathophysiology (Laureate custom ed.). St.

Louis, MO: Mosby.
Chapter 5, “Innate Immunity: Inflammation and Wound Healing”

This chapter examines how the body responds to injury and infection by exploring the first, second, and

third lines of defense. It also covers wound healing and alterations of the wound healing process.
Chapter 6, “Adaptive Immunity”

This chapter examines the third line of defense, adaptive immunity. It also covers the roles of

antigens and immunogens, the humoral immune response, cell-mediated immunity, and the production of B

and T lymphocytes in the immune response.
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Consider the following scenarios:
Scenario 1:
Jennifer is a 2-year-old female who presents with her mother. Mom is concerned because Jennifer has

been “running a temperature” for the last 3 days. Mom says that Jennifer is usually healthy and has no

significant medical history. She was in her usual state of good health until 3 days ago when she

started to get fussy, would not eat her breakfast, and would not sit still for her favorite television

cartoon. Since then she has had a fever off and on, anywhere between 101oF and today’s high of 103.2oF.

Mom has been giving her ibuprofen, but when the fever went up to 103.2oF today, she felt that she

should come in for evaluation. A physical examination reveals a height and weight appropriate

2-year-old female who appears acutely unwell. Her skin is hot and dry. The tympanic membranes are

slightly reddened on the periphery, but otherwise normal in appearance. The throat is erythematous with

4+ tonsils and diffuse exudates. Anterior cervical nodes are readily palpable and clearly tender to

touch on the left side. The child indicates that her throat hurts “a lot” and it is painful to swallow.

Vital signs reveal a temperature of 102.8oF, a pulse of 128 beats per minute, and a respiratory rate of


 

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