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 C

Explanation

A. Remove clean gloves and apply sterile gloves: This step is important to prevent contamination but is not the first step.
B. Place the swab in the culture tube: This is the final step in the process, not the first.
C. Irrigate the wound with 0.9% sodium chloride: The first step before collecting a wound culture is to irrigate the wound with sterile 0.9% sodium chloride (normal saline) to remove surface debris, which could contain contaminants rather than the actual infectious organisms. This ensures a more accurate specimen by collecting bacteria from the wound bed rather than from surface contaminants.
D. Rotate the swab over the sides of the wound: This step is performed after irrigating the wound and wearing sterile gloves.

A. "Increase your intake of dietary calcium." B. "Follow a low-residue diet." C. "Limit fruit intake to 8 oz a day." D. "Increase your intake of dietary fiber."

Correct Answer is D

Explanation

A. "Increase your intake of dietary calcium." Increasing dietary calcium is recommended for overall health, including potential benefits for colon health. However, it is not the primary recommendation for preventing colon cancer.
B. "Follow a low-residue diet." A low-residue diet is not typically recommended for cancer prevention. It is used in specific situations, like managing inflammatory bowel disease or preparing for certain diagnostic tests.
C. "Limit fruit intake to 8 oz a day." Limiting fruit intake is not advised for cancer prevention. In fact, a diet rich in fruits and vegetables is generally recommended for reducing cancer risk.
D. "Increase your intake of dietary fiber." is a well-established recommendation for reducing the risk of colon cancer. Fiber helps to promote regular bowel movements and can aid in the prevention of cancerous lesions in the colon.

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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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