A nurse is caring for a client who has a large surgical wound healing by secondary intention. The nurse should recommend a diet high in protein and which of the following nutrients?

Vitamin C

Iron

Potassium

Niacin

Answer and Explanation

The Correct Answer is A

A. Vitamin C is essential for collagen synthesis and wound healing. It helps improve the strength of the wound and promotes tissue repair, making it crucial for clients healing by secondary intention.
B. 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.
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.
D. 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.

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Correct Answer is C

Explanation

A. Vitamin E is a fat-soluble vitamin, not water-soluble. It is important for antioxidant function and skin health but does not fall into the water-soluble category.
B. Vitamin A is also a fat-soluble vitamin, essential for vision, immune function, and skin health. It is not water-soluble.
C. Vitamin C is a water-soluble vitamin that is essential for immune function, wound healing, and as an antioxidant. It must be consumed regularly since the body does not store it.
D. Vitamin D is a fat-soluble vitamin, important for bone health and calcium absorption, but not water-soluble.

A. Flush the tube with sterile sodium chloride solution every 2 hr. B. Change the feeding bag every 24 hr. C. Position the head of the client's bed at 15°. D. Check the gastric residual every 8 hr.

Correct Answer is B

Explanation

A. 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.
B. Change the feeding bag every 24 hr is a recommended practice for continuous enteral feedings to prevent bacterial growth and infection.
C. 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.
D. 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.

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A nurse is caring for a client who has a large surgical wound healing by secondary intention. The nurse should recommend a diet high in protein and which of the following nutrients?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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