Select the 5 findings that can cause delayed wound healing.

History of diabetes mellitus.

History of hyperlipidemia.

Wound infection.

Decreased pedal perfusion.

Fasting blood glucose.

Answer and Explanation

Correct Answer : A,B,C,D,E

Choice A rationale

A history of diabetes mellitus can cause delayed wound healing due to poor blood circulation and neuropathy, which can lead to reduced sensation and increased risk of infection.

Choice B rationale

A history of hyperlipidemia can contribute to delayed wound healing by causing atherosclerosis, which reduces blood flow to the wound site and impairs healing.

Choice C rationale

Wound infection is a direct cause of delayed wound healing. Infection can lead to increased inflammation, tissue damage, and prolonged healing time.

Choice D rationale

Decreased pedal perfusion indicates poor blood flow to the lower extremities, which can significantly delay wound healing by reducing the delivery of oxygen and nutrients to the wound.

Choice E rationale

Fasting blood glucose levels are important to monitor in patients with diabetes, as high glucose levels can impair the body’s ability to heal wounds effectively.

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Correct Answer is B

Explanation

Choice A rationale

A daily caloric intake of 25% fat is within the recommended range and does not significantly increase the risk for peripheral arterial disease (PAD).

Choice B rationale

Diabetes mellitus is a significant risk factor for PAD. High blood sugar levels can damage blood vessels and lead to poor circulation.

Choice C rationale

Consuming two 12-ounce alcoholic beverages daily can contribute to other health issues but is not a primary risk factor for PAD.

Choice D rationale

Hypothyroidism is not directly linked to an increased risk of PAD. It can cause other cardiovascular issues but not specifically PAD.

A. High in carbohydrates. B. High in fiber. C. Low in residue. D. Low in fat.

Correct Answer is B

Explanation

Choice A rationale

A diet high in carbohydrates is not specifically recommended for diverticulitis during the asymptomatic period. While carbohydrates are an essential part of a balanced diet, they do not specifically aid in preventing diverticulitis flare-ups. Instead, a high-fiber diet is more beneficial as it helps in maintaining regular bowel movements and preventing constipation, which can reduce the risk of diverticula formation and inflammation.

Choice B rationale

A diet high in fiber is recommended during the asymptomatic period of diverticulitis. Fiber helps to soften the stool and increase its bulk, which can prevent constipation and reduce pressure on the colon. This can help prevent the formation of diverticula and reduce the risk of diverticulitis flare-ups. Foods high in fiber include fruits, vegetables, whole grains, and legumes.

Choice C rationale

A low-residue diet is typically recommended during an acute diverticulitis flare-up to reduce bowel movements and allow the colon to heal. However, during the asymptomatic period, a high-fiber diet is more beneficial in preventing future flare-ups.

Choice D rationale

A diet low in fat is not specifically recommended for diverticulitis. While reducing fat intake can be beneficial for overall health, it does not specifically address the prevention of diverticulitis flare-ups. A high-fiber diet is more effective in maintaining bowel health and preventing diverticulitis.

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Select the 5 findings that can cause delayed wound healing.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a group of clients. Which of the following clients is at risk for developing peripheral arterial disease?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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