NCLEX-RN

Category - Physiological

When managing wounds internally or externally, the nurse understands that after the initial inflammatory response, which chemical mediator is responsible for the subsequent vasodilation and vascular permeability in the injury?
  1. Bradykinin
  2. Leukocytes
  3. Histamine
  4. Fibrinogen
Explanation
Answer: C - Histamine, which is highly concentrated in the mast cells, is released initially to promote vasodilation and vascular permeability. Bradykinins are the chemical mediators that cause pain in the injury. Some other kinins also attract neutrophils to that area. Leukocytes accumulate at the injured area to engulf microorganism and remove cellular debris. Fibrinogen, the last to arrive at the injury, helps in clot formation to isolate the injured area to prevent the spread of infection.
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