A nurse is providing care for a patient who is due for surgery.
The patient’s lab results and physical history are as follows: Prealbumin level is 13 mg/dL (normal range: 15 to 36 mg/dL), Cholesterol is 230 mg/dL (normal is less than 200 mg/dL), and Fasting glucose is 110 mg/dL (normal range: 70 to 110 mg/dL). The patient has a history of hyperlipidemia and diabetes mellitus.
Which of the following factors could potentially delay the patient’s wound healing process?
The patient’s medication history
The patient’s cholesterol level
The patient’s prealbumin level
The patient’s fasting glucose level
The Correct Answer is C
Choice A rationale
While a patient’s medication history can impact wound healing, in this case, there is no specific information provided about the patient’s medications that would suggest a delay in wound healing.
Choice B rationale
Although the patient’s cholesterol level is elevated, hyperlipidemia is not typically associated with delayed wound healing.
Choice C rationale
Prealbumin is a marker of nutritional status. A low prealbumin level, like in this patient, could indicate malnutrition, which can delay wound healing. Adequate nutrition is essential for wound healing as it provides the necessary building blocks for tissue repair.
Choice D rationale
The patient’s fasting glucose level is within the normal range, so it is unlikely to impact wound healing. While poorly controlled diabetes can delay wound healing, this patient’s diabetes appears to be well-controlled.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C"]
Explanation
Choice A rationale
A specific gravity of 1.036 is higher than the normal range of 1.005 to 1.030345. This could indicate dehydration or other conditions that cause the urine to be more concentrated. This finding should prompt the nurse to follow up.
Choice B rationale
A pH of 6.4 is within the normal range for urine, which is typically between 4.6 and 8.03. Therefore, this finding would not necessarily require follow-up.
Choice C rationale
The presence of proteinuria (protein in the urine) is abnormal and could indicate kidney disease or other serious health conditions. This finding should prompt the nurse to follow up.
Choice D rationale
The presence of hematuria (blood in the urine) can be a sign of several conditions, including urinary tract infections, kidney stones, or bladder infections. However, without more information, it’s not clear whether this finding alone should prompt the nurse to follow up.
Correct Answer is D
Explanation
Choice A rationale
Fresh vegetables are generally not considered bladder irritants. They are part of a healthy diet and do not typically cause bladder irritation.
Choice B rationale
Red meat is not typically associated with bladder irritation. While some individuals may have specific dietary sensitivities, red meat is not commonly known to irritate the bladder.
Choice C rationale
Dairy products are not typically associated with bladder irritation. However, some individuals may have lactose intolerance or other specific sensitivities to dairy products.
Choice D rationale
Caffeinated beverages can irritate the bladder. Caffeine is a diuretic, which means it can increase urine production and potentially lead to bladder irritation.
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