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Iron is important for oxygen transport and red blood cell production, but it is not directly involved in the wound healing process like vitamin C.

Potassium is essential for cellular function and fluid balance, but it does not specifically aid in wound healing in the same way as vitamin C.

Niacin is important for general metabolic processes but does not play as direct a role in wound healing as vitamin C, which is directly involved in collagen formation and tissue repair.

Fruity breath odor is more commonly associated with hyperglycemia and diabetic ketoacidosis, not hypoglycemia. Hypoglycemia usually presents with symptoms like shakiness, confusion, and sweating.

Dry mucous membranes are typically associated with dehydration, which is more common in hyperglycemia, not hypoglycemia.

Polyuria (increased urination) is a symptom of hyperglycemia, not hypoglycemia. It occurs when the blood glucose levels are high and the kidneys try to excrete excess glucose.

Inhale through your mouth when deep breathing is incorrect. The client should be instructed to inhale deeply through the nose and exhale through the mouth, which is more effective for deep breathing and lung expansion.

Cough and deep breath every 4 hours is not frequent enough. The client should be encouraged to cough and deep breathe every 1-2 hours to prevent atelectasis and promote lung expansion.

Lie supine to cough and deep breath is incorrect. The client should be in an upright or semi-Fowler's position to optimize lung expansion and reduce strain on the incision when coughing.

Contusion refers to a bruise caused by blunt force trauma, leading to tissue damage without a break in the skin. It is not consistent with torn skin tissue.

Abrasion is a superficial wound that affects only the outer layers of the skin, typically caused by friction. It would not involve torn skin tissue beneath the surface.

Puncture involves a wound that is caused by a sharp object piercing the skin, typically leaving a small, deep hole. It is not associated with torn skin tissue.

Intact skin with localized erythema would be indicative of a stage 1 pressure injury, where the skin remains intact but shows redness or non-blanching erythema.

Full-thickness skin loss with visible adipose tissue would describe a stage 3 pressure injury, which involves damage to the full dermis and subcutaneous tissue, exposing fat.

Full-thickness skin loss with visible bone would describe a stage 4 pressure injury, which extends through all layers of the skin and tissue to expose bone, tendon, or muscle.

Pulmonary embolism is a blockage in one of the pulmonary arteries in the lungs, typically caused by a blood clot. It is not directly related to dysphagia.

Diarrhea is not a primary complication of dysphagia, though it may occur if there are issues with enteral feeding.

Pressure injury is a complication that typically arises from prolonged immobility and pressure on the skin, not from dysphagia itself.

Flushing the tube with sterile sodium chloride solution every 2 hours is not a standard recommendation. Typically, the tube is flushed with water to maintain patency, not specifically sterile sodium chloride, and not at such frequent intervals unless indicated by the facility's protocol.

Position the head of the client's bed at 15° is too low. The head of the bed should be elevated at least 30° to 45° to reduce the risk of aspiration and improve digestion during enteral feeding.

Check the gastric residual every 8 hr may not be sufficient. It is typically recommended to check the gastric residual more frequently, such as every 4 hours, to assess for proper gastric emptying and avoid complications like aspiration or feeding intolerance.

Height of the IV pole does not directly impact the client's care or the infusion of TPN. The primary concern is ensuring proper administration and monitoring of the nutritional therapy.

IV insertion site is important to monitor for complications like infection, infiltration, or phlebitis, but it is not the primary concern when managing TPN. However, it should be checked regularly as part of routine care.

The client's oral intake is usually restricted in clients receiving TPN because they are receiving full nutritional support through the IV route, so oral intake is generally minimal or none.

Pulmonary embolism is unrelated to dysphagia, and although a client with dysphagia may be at risk for clotting (due to immobility or other factors), it is not the primary complication of dysphagia.

Diarrhea can occur in clients receiving enteral nutrition, but it is not a direct complication of dysphagia itself.

Pressure injury is typically related to immobility or prolonged pressure on the skin and is not directly related to dysphagia, though dysphagic clients who are also immobile may be at higher risk for pressure injuries.