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 B

Explanation

A. Delivering a series of high-pitched sounds at random intervals is not related to the Weber's test.
B. Weber's testis performed by striking the tuning fork and placing it against the middle of the forehead. Ask the patient if the tone is equal in both ears. Diminution in the affected ear indicates sensorineural hearing loss.
C. Placing an activated tuning fork on the client's mastoid process is not part of the Weber's test.
D. Whispering a series of words softly into one ear is unrelated to the Weber's test; it's a test for assessing auditory acuity.

A. Lactose intolerant B. Smoking history C. Vitamin D level D. Phosphorous level E. Alcohol use F. Activity level

Correct Answer is ["C","F"]

Explanation

A. Not directly related to osteoporosis risk. Lactose intolerance does not inherently increase the risk of osteoporosis.
B. No history of smoking was reported by the client.
C. The total 25-hydroxy D level is below the normal range, indicating insufficient vitamin D, which can increase the risk of osteoporosis.
D. Normal phosphorus levels are found in the client's diagnostic results.
E. The client reported not drinking alcohol, which is not a risk factor for osteoporosis.
F. The client's sedentary lifestyle and inability to adhere to the exercise program contribute to a higher risk of osteoporosis due to reduced bone strength from lack of physical activity.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is conducting the Weber's test on a client. Which of the following is an appropriate action for the nurse to take?

Correct Answer is B

Explanation

A nurse in a provider's office is caring for a client. Exhibits The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for osteoporosis? (Select all that apply.)

Correct Answer is ["C","F"]

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.