A nurse is caring for a 70-year-old client who has a pressure injury in the coccyx area. The nurse identifies that which of the following factors associated with aging may impact the ability for the ulcer to heat?
Elevated hemoglobin
Decreased protein level
Low bone density
Increased muscle mass
The Correct Answer is B
A. Elevated hemoglobin:
Elevated hemoglobin levels are not typically associated with aging or factors that affect pressure injury healing. Hemoglobin levels primarily relate to blood oxygen-carrying capacity and are influenced by factors such as hydration status, kidney function, and certain medical conditions.
B. Decreased protein level:
This is a significant factor that can impact the ability of a pressure injury to heal in older adults. Decreased protein levels, specifically serum albumin and total protein, are common in aging individuals and can contribute to impaired wound healing. Protein is essential for tissue repair, collagen synthesis, and immune function.
C. Low bone density:
While low bone density (osteoporosis) is a concern in aging adults and can increase the risk of fractures, it is not directly related to the ability of a pressure injury to heal. However, bone density can indirectly impact wound healing if fractures or bone-related complications occur.
D. Increased muscle mass:
Increased muscle mass is generally beneficial for overall health and functional abilities in older adults. However, it is not directly related to the ability of a pressure injury to heal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "Bake or grill the meat rather than frying it."
This statement is more related to reducing fat intake rather than managing sodium levels. While reducing fried foods can be beneficial for overall health, it doesn't directly address the issue of sodium intake, which is crucial in managing hypernatremia.
B. “Check your radial pulse twice a day.”
Checking the radial pulse is a method used to monitor heart rate and rhythm. It is not directly related to managing sodium levels or hypernatremia. Although monitoring vital signs is important in general health care, it is not specific to addressing mild hypernatremia.
C. "Read food labels to determine sodium content."
This statement is the correct choice. Managing sodium intake is a key component in managing hypernatremia. Reading food labels helps patients identify high-sodium foods and make choices that are lower in sodium content, which can be crucial in preventing or managing mild hypernatremia.
D. “Weigh yourself every morning and every night."
While regular weight monitoring can be important for certain health conditions, it is not directly related to managing mild hypernatremia. Weight changes may occur with fluid retention or loss, but monitoring sodium intake and hydration status is more directly relevant to managing hypernatremia.
Correct Answer is C
Explanation
A. Arrange for the patient to receive gamma globulin.
Gamma globulin is a blood product that contains antibodies and is sometimes used for post-exposure prophylaxis in certain situations, such as for individuals who are immunocompromised or pregnant and have been exposed to varicella (chickenpox) or measles. However, for a frail, older adult who had chickenpox as a child and has been exposed to varicella again, arranging for gamma globulin may not be necessary if the patient is already immune to chickenpox.
B. Assess frequently for herpes zoster.
Herpes zoster (shingles) is caused by the reactivation of the varicella-zoster virus, the same virus that causes chickenpox. While exposure to varicella can increase the risk of developing shingles in individuals who are susceptible, frequent assessment for herpes zoster is not necessary in this case if the patient is known to have had chickenpox in the past.
C. Be aware of the patient's immunity to chickenpox.
This option is the correct choice. Since the patient had chickenpox as a child, they likely have immunity to chickenpox. Being aware of this immunity helps the nurse understand that the patient may not develop chickenpox again even after exposure to varicella.
D. Encourage the patient to have a pneumonia vaccine.
Encouraging the patient to have a pneumonia vaccine is unrelated to the immediate concern of exposure to varicella. While pneumonia vaccines are important for older adults, especially those who are frail, the priority in this scenario is to determine the patient's immunity to chickenpox due to prior infection.
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