A nurse is caring for a client who is scheduled for surgery.
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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Client educator: Involves imparting knowledge or information to the client or others, which isn't the primary role of the nurse manager in this scenario.
B. Client advocate: Represents and supports the client's rights and needs.
C. Client care provider: The nurse manager is ensuring proper care provision by overseeing the procedure directly.
D. Case manager: Coordinates care and resources for the client's overall plan but isn't directly involved in overseeing a specific procedure.
Correct Answer is C
Explanation
A. Cooked vegetables are not typically included in a full liquid diet as they contain solid parts.
B. Bananas are not part of a full liquid diet because they are solid foods.
C. Pudding is a suitable selection for a full liquid diet as it's a smooth, creamy food that's easy to swallow.
D. Yogurt with fruit might contain solid parts, which aren't recommended in a full liquid diet.
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