A nurse is reinforcing teaching with a client who has an open leg wound and is experiencing difficulty healing. The nurse should encourage the client to increase which of the following nutrients in his diet?
Calcium
Protein
Vitamin D
Fats
The Correct Answer is B
Protein is essential for wound healing as it plays a crucial role in tissue repair and regeneration. It provides the building blocks for new tissue formation and helps in the synthesis of collagen, which is necessary for wound healing. Adequate protein intake promotes wound healing by supporting the growth of new cells, enhancing immune function, and aiding in the formation of new blood vessels.
Calcium is important for bone health but does not directly impact wound healing. However, a balanced diet that includes sources of calcium is generally recommended for overall health. Vitamin D plays a role in bone health and has some influence on immune function and wound healing. However, the primary focus in this scenario should be on protein intake.
Fats, specifically essential fatty acids, are necessary for overall health and immune function. However, increasing fats in the diet may not directly impact wound healing. It is important to consume a balanced diet that includes healthy fats, but the emphasis for wound healing is on protein intake.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Incorrect. While family medical history might provide some context, physical assessment findings are more directly relevant to a referral for a physical therapist.
B. Incorrect. Medical health insurance claims are administrative and financial information, not typically included in a referral for a physical therapist.
C. Correct. Physical assessment findings, such as range of motion limitations, mobility issues, gait abnormalities, and areas of pain or discomfort, are essential for a physical therapist to develop an appropriate plan of care.
D. Incorrect. Medications taken prior to admission might have some relevance, but physical assessment findings are crucial for a physical therapist to understand the client's physical condition.
Correct Answer is A
Explanation
A.Emptying the ostomy pouch before removing the skin barrier reduces the risk of spillage and makes the procedure less messy. It is also more comfortable for the client and helps prevent leakage of stool onto the skin, which can cause irritation.
B. It’s generally recommended to change an ostomy appliance when the bowel is least active, such as before meals or several hours after eating. Changing it one hour after breakfast may coincide with increased bowel activity, which can increase the risk of leakage and make the change more challenging.
C.Moisturizing soaps should be avoided when cleaning the skin around the stoma because they can leave a residue that interferes with the adhesion of the skin barrier, potentially leading to leakage. The nurse should use a mild, non-moisturizing soap or just water to clean the area to ensure proper adhesion of the appliance.
D.The opening on the skin barrier should closely match the size of the stoma, with a slight gap of about 1/8 inch (0.3 cm) around it to avoid pressure on the stoma while also protecting the surrounding skin. Creating an opening that is 0.5 inches (1.27 cm) larger than the stoma would leave too much skin exposed, increasing the risk of irritation and infection.
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