A client is learning about diet choices that will increase wound healing after a total knee replacement.
What diet selection would indicate that the client understands the correct foods to choose for that outcome to happen?

Slice of cheese pizza, french fries, and a glass of orange juice.

Cheeseburger, potato chips, and a glass of soda.

Chicken breast, green beans, and a glass of milk.

Spaghetti and meatballs, a roll, and chocolate pudding.

Answer and Explanation

The Correct Answer is C

Chicken breast, green beans, and a glass of milk. This is because chicken breast is a good source of protein, which is essential for wound healing. Green beans are rich in vitamin C, which helps with collagen synthesis and immune function. Milk is a good source of calcium and vitamin D, which are important for bone health and healing.

Choice A is wrong because cheese pizza and french fries are high in fat and sodium, which can increase inflammation and delay wound healing. Orange juice is high in sugar, which can also impair wound healing and increase the risk of infection.

Choice B is wrong because cheeseburger and potato chips are also high in fat and sodium, and have similar effects as choice A. Soda is also high in sugar and can cause dehydration, which can slow down wound healing.

Choice D is wrong because spaghetti and meatballs are high in refined carbohydrates, which can spike blood sugar levels and impair wound healing.

A roll is also a refined carbohydrate and does not provide much fiber or nutrients. Chocolate pudding is high in sugar and fat, and can also worsen wound healing.

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Correct Answer is D

Explanation

This is because a client who has been diaphoretic for the past six hours is likely to have wet and uncomfortable bed linens that can cause skin breakdown and infection. Changing the bed linens frequently can help keep the client dry and comfortable.

Choice A is wrong because offering the client a bedpan every three hours is not related to diaphoresis and may not meet the client’s elimination needs.

Choice B is wrong because keeping an emesis basin near the bedside is not related to diaphoresis and may not be necessary unless the client has nausea or vomiting.

Choice C is wrong because providing oral care every four hours is not enough to prevent dehydration and dry mouth in a client who has been diaphoretic for the past six hours. The client may need more frequent oral care and fluid intake.

A. Hemoglobin 15.3 mg/dL. B. Serum Osmolality 265 mOsm/Kg. C. Serum Sodium 134 mEq/L. D. Urine specific gravity 1.025.

Correct Answer is B

Explanation

This indicates that the client has a fluid volume deficit, which is consistent with the signs and symptoms of low urine output, weight gain, irritability, and headache. The normal range for serum osmolality is 275 to 295 mOsm/Kg.

Choice A is wrong because hemoglobin 15.3 mg/dL is within the normal range of 12 to 18 mg/dL and does not correlate with fluid imbalance.

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A client is learning about diet choices that will increase wound healing after a total knee replacement. What diet selection would indicate that the client understands the correct foods to choose for that outcome to happen?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which intervention should the nurse include while caring for a client who has been diaphoretic for the past six hours?

Correct Answer is D

Explanation

The client’s 24-hour urine output is 750 mL and an amber color, oral intake is 1700 mL, and the weight has increased 3 kilograms in 2 days. The client is irritable and states “I have a headache.” Which laboratory value most correlates with these signs and symptoms?

Correct Answer is B

Explanation

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A client is learning about diet choices that will increase wound healing after a total knee replacement.
What diet selection would indicate that the client understands the correct foods to choose for that outcome to happen?