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 A

Explanation

A. Eyelashes that curl slightly outward is a normal finding.
B. An involuntary blink rate of 30 to 35 times per minute might be within the normal range but is not typically assessed during a routine eye examination.
C. Pupils of 8 to 9 mm in diameter might indicate dilation, which is not a normal finding during a regular eye assessment.
D. Corneas with an opaque appearance could indicate issues such as corneal edema or opacity, which are abnormal findings.

A. Turn overhead lights to a bright setting. B. Ask the family if they wish to assist in washing the client's body. C. Remove the client's dentures for their family to keep. D. Leave the client's eyes open until the family views the body.

Correct Answer is B

Explanation

A. Turning overhead lights to a bright setting may not be appropriate as it can be discomforting for the family and doesn't align with providing respectful postmortem care.
B. Inviting the family to assist in washing the client's body can be a part of therapeutic postmortem care and can help the family members in their grieving process.
C. Removing dentures for the family to keep isn't typically part of postmortem care.
D. Leaving the client's eyes open until the family views the body may not be culturally appropriate and can be distressing for the family.

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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

A nurse is performing an eye assessment for a newly admitted client. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is preparing to provide postmortem care for a client. Which of the following actions should the nurse plan to take?

Correct Answer is B

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.