What age-related factors may factor into this client's wound healing? Select all that apply.
Insulin resistance
Decreased epidermal turnover
Pigmentation changes
T-cell function decrease
Polypharmacy
Decreased subcutaneous padding
Correct Answer : B,D,F
As people age, the turnover of skin cells decreases, resulting in slower wound healing. This can prolong the healing process and increase the risk of complications.
The immune system's function, including T-cell function, tends to decline with age.
T-cells play a crucial role in the immune response and wound healing. Decreased T-cell function can impair the body's ability to fight infection and promote efficient healing.
With aging, there is a natural loss of subcutaneous fat, which can affect wound healing. Subcutaneous fat provides padding and protection to the underlying tissues, and its reduction can increase the risk of tissue damage and delays in healing.
Insulin resistance, pigmentation changes, and polypharmacy are not directly age-related factors that impact wound healing. Insulin resistance is a condition related to impaired glucose metabolism and can affect wound healing in individuals with diabetes or other metabolic disorders, but it is not necessarily an age-related factor. Pigmentation changes and polypharmacy (the use of multiple medications) may be associated with aging but do not directly affect the physiological processes involved in wound healing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: White blood cell count monitors for infection or inflammation. While important for general health, it does not address the massive fluid loss and electrolyte imbalances specifically caused by diabetes insipidus.
Choice B rationale: Capillary glucose monitors for diabetes mellitus. Diabetes insipidus involves antidiuretic hormone deficiency, not insulin issues; therefore, glucose levels are not the priority in managing the massive dilute polyuria seen here.
Choice C rationale: Urine specific gravity will be consistently low in diabetes insipidus. While it confirms the diagnosis of dilute urine, it is less critical than monitoring the life-threatening systemic effects of dehydration.
Choice D rationale: Serum sodium is the most important lab to monitor. Massive loss of dilute urine leads to severe hemoconcentration and hypernatremia, which can cause cerebral edema, seizures, and permanent neurological damage.
Correct Answer is A
Explanation
The presenting symptoms of the infant, including persistent vomiting, poor skin turgor, significant weight loss, and a palpable abdominal mass, indicate a potential serious condition that requires immediate attention. These findings may suggest dehydration, malnutrition, and the presence of an abdominal mass that could be causing gastrointestinal obstruction or other underlying pathology.
Initiating a prescribed IV for parenteral fluid is the priority intervention to address the potential dehydration and fluid imbalance in the infant. This will help restore and maintain adequate hydration while further diagnostic evaluations and interventions are initiated.
Feeding the infant, giving 5% dextrose in water orally, or inserting a nasogastric tube for feeding should not be implemented as the first intervention in this case. It is important to stabilize the infant's fluid status before initiating oral feedings or other interventions to address the underlying cause of the symptoms.
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