A nurse in a provider's office is caring for a client.

Exhibits

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Nurses' Notes

Today. 

Client presents to the office with their adult daughter. Daughter states the client's forgetfulness has increased. She states. "I often notice uneaten meals in the microwave when I come over to visit." Daughter also reports that the client fell 1 month ago and has a wound on their leg that won't heal. On assessment skin is rough and dry, lungs are clear bilaterally, abdomen is soft and concave, and edema noted to the face and lower extremities.

Vital Signs

Today

• Temperature 37.7° C (98.9° F)
• Heart rate 103/min
• Respiratory rate 16/min
• Blood pressure 102/68 mm Hg
• Weight 65.9 kg (145 lb)

A. A low-carbohydrate diet may not provide the necessary energy and nutrients required for optimal wound healing. Carbohydrates are important for providing energy for cellular processes involved in tissue repair and regeneration.
B. A high-nutrient diet, rich in vitamins, minerals, proteins, and healthy fats, is essential for promoting wound healing. Adequate intake of nutrients such as vitamin C, vitamin A, zinc, and protein is particularly important for supporting collagen synthesis, immune function, and tissue repair.
C. A high-cholesterol diet is not specifically indicated for promoting wound healing and may be associated with other health risks such as cardiovascular disease.
D. While excessive sodium intake can contribute to fluid retention and edema, a low-sodium diet is not specifically indicated for promoting wound healing unless the client has conditions such as congestive heart failure or hypertension where sodium restriction is necessary to manage fluid balance.

A. Hypothyroidism is a condition characterized by an underactive thyroid gland and can contribute to weight gain, but it is not a direct complication of childhood obesity.

B. Juvenile rheumatoid arthritis is a chronic inflammatory disorder that affects the joints and is not directly related to obesity.
C. Type 1 diabetes mellitus is an autoimmune condition in which the pancreas produces little or no insulin, leading to high blood sugar levels. While obesity is a risk factor for type 2 diabetes, it is not a direct complication of childhood obesity.
D. Hypertension, or high blood pressure, is a known complication of obesity in both children and adults. Excess body weight can increase the workload on the heart and blood vessels, leading to elevated blood pressure.