A nurse is caring for a client who is scheduled for surgery.

Exhibits

The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for delayed wound healing? Select all that apply.

Mini Nutritional Assessment screening tool score

History of hyperlipidemia

History of malnutrition

History of diabetes mellitus

Cholesterol level

Prealbumin level

Answer and Explanation

Correct Answer : C,D,F

A.   Mini Nutritional Assessment screening tool score: While it indicates the risk of malnutrition, it's not directly linked to delayed wound healing.
B.   History of hyperlipidemia: Hyperlipidemia itself doesn't directly affect wound healing.
C.   History of malnutrition: Malnutrition significantly hampers the body's ability to heal wounds effectively.
D.   History of diabetes mellitus: Diabetes can impair wound healing due to poor blood sugar control affecting the immune system and circulation.
E.   Cholesterol level: Elevated cholesterol, while relevant to overall health, is not directly linked to delayed wound healing.
F.   Prealbumin level: Prealbumin is a marker for nutritional status; lower levels indicate inadequate protein intake and can contribute to delayed wound healing.

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Correct Answer is D

Explanation

A. Priming the IV tubing with lactated Ringer's isn't necessary for administering packed RBCs.
B. Confirming the client's identity with the blood bank technician is crucial but typically done before receiving the blood product.
C. Ensuring the client has a suitable IV catheter is important but isn't the priority before starting the infusion of packed RBCs.
D. Checking the blood product's compatibility with the client's blood type is critical to prevent adverse reactions before starting the infusion.

A. "I will move your joints to the point of mild pain." B. "I will move your joints quickly." C. "I will repeat these movements 3 to 5 times." D. "These movements will be performed once per day."

Correct Answer is C

Explanation

A. Moving joints to the point of mild pain can cause discomfort or injury and isn't advisable during passive range-of-motion exercises.
B. Moving joints quickly might increase the risk of injury or discomfort and isn't typically recommended for passive range-of-motion exercises.
C. Repeating movements 3 to 5 times is a standard recommendation for passive range-of-motion exercises to improve joint flexibility and prevent stiffness.
D. Performing these movements once a day might not yield optimal benefits for joint mobility in clients with decreased mobility.

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A nurse is caring for a client who is scheduled for surgery. Exhibits The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for delayed wound healing? Select all that apply.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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A nurse is caring for a client who is scheduled for surgery.

Exhibits

The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for delayed wound healing? Select all that apply.