A nurse is caring for a client who has a pressure injury and is assessing the client's dietary intake. Which of the following factors should the nurse identify as a barrier to wound healing?
Increased protein intake
Decreased vitamin C intake
Increased caloric intake
Decreased fat intake
The Correct Answer is B
A) Increased protein intake is generally beneficial for wound healing. Protein provides the essential amino acids necessary for tissue repair and regeneration. Therefore, this would not be considered a barrier to wound healing.
B) Decreased vitamin C intake can be a barrier to wound healing. Vitamin C plays a crucial role in collagen synthesis, which is essential for wound repair and tissue regeneration. Without an adequate supply of vitamin C, the body's ability to form strong connective tissue at the wound site may be compromised, leading to delayed healing.
C) Increased caloric intake can actually be beneficial for wound healing, especially if the client is undernourished or experiencing metabolic stress. Adequate caloric intake provides the energy necessary for cellular activities involved in the healing process, including immune function and tissue repair.
D) Decreased fat intake may not necessarily be a barrier to wound healing. While certain types of fats, such as omega-3 fatty acids, can have anti-inflammatory effects and support overall health, excessive intake of unhealthy fats may contribute to inflammation and impair healing. However, fat intake alone is unlikely to be a significant barrier to wound healing compared to deficiencies in other essential nutrients like protein or vitamin C.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Gastroesophageal reflux (GER) is a common condition in infants where the contents of the stomach flow back into the esophagus. It often resolves on its own as the infant grows, but management strategies can help alleviate symptoms. Positioning the newborn upright or at a slight angle after feeding is a key recommendation to reduce reflux episodes.
Now, let's review the rationales for each option:
A) "Provide a small feeding just before bedtime." - Feeding a newborn just before bedtime can exacerbate reflux symptoms as lying down can increase the likelihood of stomach contents refluxing into the esophagus. Therefore, this instruction is not recommended as it may worsen GER symptoms.
B) "Dilute formula with 1 tablespoon of water." - Diluting formula with water can disrupt the balance of nutrients and calories in the formula, potentially affecting the infant's growth and nutritional status. Additionally, diluting formula does not address the underlying cause of GER and is not a recommended practice.
C) "Position the newborn at a 20-degree angle after feeding." - This instruction is correct. Placing the newborn at a 20-degree angle or slightly upright after feeding can help reduce the occurrence of reflux episodes by allowing gravity to assist in keeping stomach contents down. This position helps prevent the backflow of gastric contents into the esophagus and reduces discomfort for the infant.
D) "Place the newborn in a side-lying position if vomiting." - Placing the newborn in a side-lying position after vomiting may increase the risk of aspiration, especially in young infants. It is safer to position the infant upright or at a slight angle to minimize reflux and reduce the risk of aspiration.
Correct Answer is C
Explanation
A) The client is immune to the rubella virus:
A negative rubella titer indicates that the client is not immune to the rubella virus. Therefore, this interpretation is incorrect.
B) The client requires a rubella vaccination at this time:
A negative rubella titer indicates susceptibility to rubella and the need for vaccination. However, administering a live virus vaccine like rubella during pregnancy is contraindicated due to the risk of fetal harm. Therefore, this interpretation is incorrect.
C) The client requires a rubella immunization following delivery:
A negative rubella titer during pregnancy indicates susceptibility to rubella. After delivery, the client should receive a rubella immunization to prevent rubella infection in future pregnancies. Rubella vaccination is safe postpartum and helps protect the mother and future pregnancies. Therefore, this interpretation is correct.
D) The client is not experiencing a rubella infection at this time:
A rubella titer measures the level of antibodies to the rubella virus, not the presence of an active infection. A negative rubella titer indicates the absence of immunity to rubella, not the absence of an active infection. Therefore, this interpretation is incorrect.
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