A nurse is reviewing the medical record of a client who had abdominal surgery 2 days ago. The nurse should identify that which of the following findings indicates the client is at risk for delayed wound healing?

Pain level of 1 on a scale of 0 to 10

Oxygen saturation of 92% on room air

Albumin level of 2.5 g/dL

Body mass index of 22

Answer and Explanation

The Correct Answer is C

Choice A reason: A pain level of 1 on a 0-10 scale indicates well-controlled pain, which does not directly impair wound healing. Adequate pain management supports mobility and recovery, reducing stress responses that could delay healing. This finding is not a risk factor for delayed wound healing in post-surgical clients.
Choice B reason: An oxygen saturation of 92% on room air is slightly low but not critically hypoxic. Wound healing requires adequate oxygenation, but levels above 90% are generally sufficient for tissue repair. This finding alone does not significantly indicate a risk for delayed wound healing compared to nutritional deficits.
Choice C reason: An albumin level of 2.5 g/dL (normal: 3.5-5.0 g/dL) indicates malnutrition, a major risk for delayed wound healing. Albumin is essential for tissue repair, collagen synthesis, and immune function. Low levels impair fibroblast activity and wound strength, increasing infection risk and slowing recovery in post-surgical clients.
Choice D reason: A body mass index of 22 is within the normal range (18.5-24.9) and does not indicate malnutrition or obesity, both of which can impair wound healing. Normal BMI supports adequate nutritional status for tissue repair, making this finding not a risk factor for delayed wound healing.

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Correct Answer is A

Explanation

Choice A reason: Smoked salmon is high in tyramine, which phenelzine, an MAOI, prevents from being metabolized. This risks hypertensive crisis due to norepinephrine release, potentially causing stroke or cardiovascular complications. Avoiding tyramine-rich foods is critical for safety in clients on MAOI therapy.
Choice B reason: Cottage cheese is low in tyramine, safe for phenelzine users. Unlike aged cheeses, fresh dairy poses minimal risk of hypertensive crisis, as it lacks significant tyramine content. MAOIs require avoiding high-tyramine foods, making cottage cheese an acceptable dietary choice for these clients.
Choice C reason: Grapefruit affects CYP450 enzymes, interacting with some drugs, but is not contraindicated with phenelzine. It lacks significant tyramine, so it does not trigger hypertensive crises. Avoidance is unnecessary, as it does not impact MAOI metabolism or related cardiovascular risks.
Choice D reason: Fresh apples are low in tyramine and safe for phenelzine users. MAOIs require avoiding tyramine-rich foods like aged meats, but fresh fruits do not cause hypertensive crises, as they lack amino acids interacting with MAOI metabolism, making them safe for consumption.

A. Penicillin B. Ipratropium C. Zolpidem D. Finasteride

Correct Answer is D

Explanation

Choice A reason: Penicillin, an antibiotic, has no known interactions with saw palmetto, a herbal supplement used for BPH. Saw palmetto affects prostate function, not antibiotic metabolism, so this combination is safe, making it an incorrect choice for an adverse interaction.
Choice B reason: Ipratropium, used for respiratory conditions, does not interact with saw palmetto, which targets prostate health. Their mechanisms are unrelated, and no significant drug-herb interaction exists, making this medication an incorrect choice for an adverse interaction with saw palmetto.
Choice C reason: Zolpidem, a sedative, has no documented interactions with saw palmetto. Saw palmetto’s effects on prostate tissue do not influence zolpidem’s central nervous system actions, so this combination is safe, making it incorrect for an adverse interaction.
Choice D reason: Finasteride, used for BPH, may interact with saw palmetto, as both reduce prostate size via similar mechanisms (inhibiting 5-alpha-reductase). Combined use can amplify effects or cause additive side effects, making this a potential adverse interaction, thus the correct choice.

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A nurse is reviewing the medical record of a client who had abdominal surgery 2 days ago. The nurse should identify that which of the following findings indicates the client is at risk for delayed wound healing?

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Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has a depressive disorder and a new prescription for phenelzine. Which of the following foods should the nurse instruct the client to avoid?

Correct Answer is A

Explanation

A nurse is reviewing the medication administration record of a client who has benign prostatic hyperplasia (BPH). The client asks the nurse about taking saw palmetto. The nurse should instruct the client that which of the following medications interacts adversely with saw palmetto?

Correct Answer is D

Explanation

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