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

Which of the following findings places the client at risk for delayed wound healing? Select all that apply.

Hyperlipidemia.

Diabetes mellitus.

Medication history.

Cholesterol level.

Prealbumin level.

Answer and Explanation

Correct Answer : A,B,C,E

Choice A rationale:
Hyperlipidemia is a condition characterized by elevated levels of lipids (cholesterol and triglycerides) in the blood. High lipid levels are associated with atherosclerosis and impaired blood flow, which can hinder wound healing. Therefore, having hyperlipidemia places the client at risk for delayed wound healing.
Choice B rationale:
Diabetes mellitus is a chronic condition that can lead to impaired wound healing. High blood sugar levels in diabetes can damage blood vessels and nerves, reducing blood flow to wounds and impairing the body's ability to fight infection. Therefore, diabetes mellitus places the client at risk for delayed wound healing.
Choice C rationale:
The medication history is a crucial factor to consider in wound healing. Prednisolone, a corticosteroid, can suppress the immune system and impair the body's ability to heal wounds. Long-term use of prednisolone, as in this case (20 mg/day for the past 2 years), increases the risk of delayed wound healing. Therefore, the medication history places the client at risk for delayed wound healing.
Choice D rationale:
The cholesterol level, in this context, is less relevant to the immediate risk of delayed wound healing. While high cholesterol levels are a risk factor for atherosclerosis and cardiovascular diseases, they do not have a direct impact on wound healing. The other choices (A, B, and C) are more directly related to delayed wound healing in the context of this surgical patient.
Choice E rationale:
Prealbumin is a protein that reflects a person's nutritional status. A low prealbumin level indicates malnutrition or inadequate protein intake, which can hinder wound healing. Therefore, a low prealbumin level places the client at risk for delayed wound healing. Now, let's move on to the last question.

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Correct Answer is B

Explanation

Choice A rationale:

"Questioning" is an important aspect of critical thinking, but it is not one of the specific steps in the critical thinking process. Critical thinking involves a systematic approach to problem-solving, and questioning is a skill used throughout the process to gather information, clarify concepts, and identify issues.

Choice B rationale:

"Analysis" is one of the key steps in the critical thinking process. Analyzing data involves breaking down information, identifying patterns, and drawing conclusions based on evidence. It is a fundamental aspect of critical thinking and problem-solving in healthcare.

Choice C rationale:

"Intuition" is an important but more subjective aspect of decision-making. It involves a gut feeling or instinct that may guide a healthcare provider's choices, but it is not a formal step in the critical thinking process. Intuition can be influenced by one's experience and knowledge.

Choice D rationale:

"Creativity" can be a valuable skill in critical thinking, but it is not a specific step in the process. Creativity may be used to generate innovative solutions to problems, but the formal steps of critical thinking involve gathering data, analyzing it, and making evidence-based decisions. .

A. A client who has heart failure and peripheral edema. B. A client who has cirrhosis of the liver and bruising on their arms. C. A client who reports urinary burning and a temperature of 39.2° C (102.5° F). D. A client who has a new onset of atrial fibrillation and a heart rate of 152/min.

Correct Answer is D

Explanation

Atrial fibrillation with a rapid heart rate can lead to decreased cardiac output and compromised blood flow, which can have serious consequences, including stroke and heart failure. Therefore, this client requires immediate attention to assess and manage the cardiac rhythm.

While the other clients also have significant health concerns, they are not as acutely life-threatening as a new onset of atrial fibrillation with a high heart rate. Prioritizing care based on the urgency and severity of the condition is crucial in the emergency department setting.

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A nurse is caring for a client who is scheduled for surgery. Which of the following findings places the client at risk for delayed wound healing? Select all that apply.

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

Which of the following findings places the client at risk for delayed wound healing? Select all that apply.