A nurse is assessing a client who has pericarditis. Which of the following findings is the priority?

 

A. Varenicline is a medication used for smoking cessation, not for treating gambling disorder.

B. Disulfiram is a medication used to discourage alcohol consumption by inducing unpleasant side effects if alcohol is consumed; it is not used for treating gambling disorder.

C. Sertraline is a selective serotonin reuptake inhibitor (SSRI) antidepressant that has been shown to be effective in treating gambling disorder by reducing gambling urges and behaviors.

D. Clonidine is an alpha-2 adrenergic agonist used to treat conditions such as hypertension and attention deficit hyperactivity disorder (ADHD); it is not typically used for treating gambling disorder.

- A: An INR of 1.1 is within the normal range, indicating normal blood clotting ability, which is essential for wound healing. A normal INR does not pose a risk for delayed wound healing.
- B: Hyperemesis can lead to dehydration and malnutrition, both of which are detrimental to wound healing. Dehydration reduces blood volume and flow, impairing the delivery of oxygen and nutrients to the wound site, while malnutrition can weaken the immune response and the formation of new tissue.
- C: An HbA1C level of 5.6% is at the high end of the normal range and does not typically indicate diabetes or impaired glucose control, which are risk factors for delayed wound healing.
- D: While uncontrolled pain can be a concern for patient comfort and may indirectly affect wound healing by reducing mobility, it is not a direct risk factor for delayed wound healing like hyperemesis is.