A nurse is reviewing laboratory reports of an older adult client who is postoperative. Which of the following laboratory results should indicate to the nurse that the client is at risk for delayed wound healing?

Increased hemoglobin

Decreased albumin

Increased leukocytes

Decreased coagulation

Answer and Explanation

The Correct Answer is B

A. Increased haemoglobin is not typically associated with delayed wound healing. Elevated hemoglobin can occur in conditions such as dehydration or polycythemia.
B. Decreased albumin: This is the correct answer. Albumin is a protein that is essential for wound healing. Low levels of albumin (hypoalbuminemia) can indicate poor nutritional status, which can delay wound healing.
C. Increased leukocytes typically indicates infection or inflammation but does not directly suggest delayed wound healing unless the increase is due to a significant infection.
D. Decreased coagulation can indicate a bleeding disorder, but it is not directly linked to delayed wound healing. However, proper coagulation is important for the initial stages of wound healing.

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Correct Answer is D

Explanation

A. Keep the client's bed in its highest position with the side rails up. Keeping the bed in its highest position increases the risk of falls, especially for a client with urinary incontinence who may attempt to get up quickly. This does not adhere to safety guidelines.
B. Provide adult diapers for the client to wear while in bed. While providing diapers may be necessary, it is not the primary safety intervention. It is more important to address the client's mobility and ensure they can safely access the bathroom.
C. Store the client's personal possessions in the closet in her room. Keeping the room tidy and ensuring personal items are stored safely can reduce clutter and fall risks but does not directly address incontinence management or safety goals.
D. Ask the client to give a return demonstration of how to use the call light. Ensuring the client knows how to use the call light is crucial for safety. It allows them to call for assistance when needed, reducing the risk of falls when they need to use the bathroom.

A. Teach the client to strain when having a bowel movement. B. Encourage the client to drink a hot beverage just before she needs to defecate. C. Allow the client to sit on the toilet for 1 hr to defecate. D. Limit exercise for the client while she is on the bowel training program.

Correct Answer is B

Explanation

A. Teach the client to strain when having a bowel movement. Straining can cause harm and is not recommended.
B. Encourage the client to drink a hot beverage just before she needs to defecate. A hot beverage can stimulate bowel movements and help establish a routine.
C. Allow the client to sit on the toilet for 1 hr to defecate. Prolonged sitting can cause discomfort and is not practical.
D. Limit exercise for the client while she is on the bowel training program. Exercise is beneficial for overall health and can promote regular bowel movements.

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A nurse is reviewing laboratory reports of an older adult client who is postoperative. Which of the following laboratory results should indicate to the nurse that the client is at risk for delayed wound healing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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