A nurse is caring for a female client who had a stroke. Which of the following findings should indicate to the nurse that the client has an increased risk of developing skin breakdown?
Hgb 18 g/dL (12 to 16 g/dl)
WBC 12.000/mm3 (5,000 to 10,000/mm3)
25-Hydroxyvitamin D 92 ng/ml. (25 to 80 ng/mL)
Albumin 3.1 g/dL (3.5 to 5 g/dL)
The Correct Answer is D
Albumin is a protein that plays a crucial role in maintaining skin health. Low albumin levels (hypoalbuminemia) can lead to poor wound healing and skin vulnerability.
Hemoglobin level, white cell count and 25-hydroxyvitamin have no direct role in skin breakdown.
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Related Questions
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"},"G":{"answers":"A"}}
Explanation
The client's record indicate that they are experiencing a myocardial infarction due to the elevated markers of inflammation, cardiac biomarkers and typical ECG findings.
Management of myocardial infarction includes oxygen supplementation, nitroglycerin, morphine sulphate, beta blocker such as metoprolol and aspirin/clopidogrel
Among the triggers of myocardial infarction can be cardiac dysrhythmias. This can be caused by electrolytes disturbances and hence the need to draw electrolytes.
Correct Answer is C
Explanation
Dehydration can lead to a decrease in blood volume and subsequent hypotension (low blood pressure) as the body tries to conserve fluid.
A, B, D are features of fluid overload.
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