A nurse is caring for a client who has a stage 3 pressure ulcer. The nurse should recognize that which of the following laboratory findings will affect wound healing?

Hemoglobin 16g/dL

INR 0.9

Serum albumin 3.2 g/dL

WBC count 8,000/mm

Answer and Explanation

The Correct Answer is C

Choice A rationale: Hemoglobin level reflects the oxygen-carrying capacity of the blood but is not a direct indicator of nutritional status.
Choice B rationale: International Normalized Ratio (INR) is a measure of blood clotting, and a normal value does not directly impact wound healing.
Choice C rationale: Serum albumin is a marker of nutritional status, and a low level (hypoalbuminemia) can adversely affect wound healing. Adequate protein intake is essential for collagen synthesis and overall tissue repair.
Choice D rationale: White blood cell count is an indicator of immune response and infection but does not directly affect wound healing in the absence of infection.

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Correct Answer is A

Explanation

Choice A rationale: A superficial wound with no exudate (fluid drainage) can benefit from a film dressing. Film dressings are transparent, adhesive, and provide a protective barrier while allowing visualization of the wound. They are suitable for wounds with minimal or no drainage.
Choice B rationale: Foam dressings are often used for wounds with moderate to heavy exudate. They provide absorption and insulation but may not be the best choice for a wound with no exudate.
Choice C rationale: Alginate dressings are absorbent and suitable for wounds with moderate to heavy exudate. They may not be necessary for a superficial wound with no drainage.
Choice D rationale: Hydrofiber dressings are absorbent and can handle moderate to heavy exudate. Like alginate dressings, they may not be the most appropriate choice for a wound with no exudate.

A. Metabolic alkalosis B. Low hemoglobin C. Hypervolemia D. Hyperkalemia

Correct Answer is D

Explanation

Choice A rationale: individuals with extensive burn wounds are highly likely to develop metabolic acidosis and not metabolic alkalosis due to the increased risk of tissue hypoxia, increased lactic acid levels, and renal failure.
Choice B rationale: low hemoglobin is not an expected finding in individuals with extensive burn wounds but instead increased hemoglobin levels are expected due to hemoconcentration resulting from excessive fluid loss.
Choice C rationale: A patient with extensive burn wounds is expected to have hypovolemia and not hypervolemia due to increased fluid loss from the burned tissues and increased capillary permeability.
Choice D rationale: hyperkalemia is a common finding in individuals with extensive burn wounds due to massive cell destruction which releases potassium from the intracellular compartment to the extracellular compartment.

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A nurse is caring for a client who has a stage 3 pressure ulcer. The nurse should recognize that which of the following laboratory findings will affect wound healing?

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Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has a superficial wound with no exudate. The nurse should plan to use which of the following dressings to cover wound?

Correct Answer is A

Explanation

A nurse in an emergency department is reviewing the medical record of a client who has an extensive burn injury. Which of the following laboratory results should the nurse expect?

Correct Answer is D

Explanation

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