Final answer:
Systemic manifestations of inflammation include fever, fatigue, and leukocytosis. The findings indicating systemic inflammation are an oral temperature of 38.6 F (fever), a WBC count of 20 (leukocytosis), and the patient's report of ongoing fatigue.
Step-by-step explanation:
The systemic manifestations of inflammation include systemic signs such as fever, fatigue, and elevated white blood cell count (leukocytosis). From the options provided, the findings that indicate systemic manifestations are:
- Oral temperature 38.6 F, which indicates fever and is a system-wide sign of inflammation that raises the body temperature and stimulates the immune response.
- WBC 20, which represents an increased white blood cell count or leukocytosis, a common response to systemic inflammation as the body attempts to fight an infection.
- Patient reports, "I'm tired all the time. I haven't felt like myself in days," which describes fatigue, a systemic effect of inflammation.
While the other options, thick green nasal discharge and pain at 6 on a 0 to 10 scale upon palpation of sinuses, might be localized signs of inflammation (e.g., sinusitis), they don't necessarily indicate systemic inflammation.