A nurse is caring for a client who has a pressure injury and is assessing the client's dietary intake. Which of the following factors should the nurse identify as a barrier to wound healing?

Increased protein intake

Decreased vitamin C intake

Increased caloric intake

Decreased fat intake

Answer and Explanation

The Correct Answer is B

A) Increased protein intake is generally beneficial for wound healing. Protein provides the essential amino acids necessary for tissue repair and regeneration. Therefore, this would not be considered a barrier to wound healing.

B) Decreased vitamin C intake can be a barrier to wound healing. Vitamin C plays a crucial role in collagen synthesis, which is essential for wound repair and tissue regeneration. Without an adequate supply of vitamin C, the body's ability to form strong connective tissue at the wound site may be compromised, leading to delayed healing.

C) Increased caloric intake can actually be beneficial for wound healing, especially if the client is undernourished or experiencing metabolic stress. Adequate caloric intake provides the energy necessary for cellular activities involved in the healing process, including immune function and tissue repair.

D) Decreased fat intake may not necessarily be a barrier to wound healing. While certain types of fats, such as omega-3 fatty acids, can have anti-inflammatory effects and support overall health, excessive intake of unhealthy fats may contribute to inflammation and impair healing. However, fat intake alone is unlikely to be a significant barrier to wound healing compared to deficiencies in other essential nutrients like protein or vitamin C.

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Correct Answer is A

Explanation

A) Providing the client with food cut into small bites is a suitable action for a client with myasthenia gravis. This helps facilitate swallowing and reduces the risk of aspiration, which can be a concern for individuals with this condition due to muscle weakness, particularly in the throat and esophagus.

B) Instructing the client to take prescribed anticholinesterase medication with meals is indeed a crucial aspect of managing myasthenia gravis. Anticholinesterase medications help improve muscle strength by preventing the breakdown of acetylcholine, thus enhancing neuromuscular transmission. Taking these medications 30 minutes or so prior to meals optimizes absorption and minimizes gastrointestinal side effects.

C) Positioning the head of the client's bed to 40° while eating is beneficial for preventing aspiratio’ in clients with swallowing difficulties, including those with myasthenia gravis. This position helps reduce the risk of food or liquids entering the airway during swallowing.

D) Encouraging the client to lie down after eating is not recommended for individuals with myasthenia gravis, as it may increase the risk of aspiration. Instead, clients should remain upright for a period after eating to aid digestion and reduce the risk of reflux and aspiration pneumonia.

A. Green tea B. Orange juice C. Coffee D. Milk

Correct Answer is B

Explanation

A) Almonds: While almonds contain some water content, they are primarily known for their high fat and protein content rather than water. Therefore, they do not contribute significantly to hydration compared to other options.

B) Broccoli: Broccoli is a vegetable with a high water content, making it an excellent choice for maintaining hydration. Vegetables like broccoli typically have a water content of around 90% or higher, providing both water and essential nutrients.

C) Whole-wheat bread: While whole-wheat bread does contain water, its water content is relatively lower compared to fruits and vegetables. Bread typically has a water content of around 35% to 40%, which is lower than options like fruits and vegetables.

D) Cheddar cheese: Cheese, including cheddar cheese, has a very low water content, typically around 35% to 40%. While cheese provides other nutrients like protein and calcium, it is not a significant source of hydration compared to options with higher water content.

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A nurse is caring for a client who has a pressure injury and is assessing the client's dietary intake. Which of the following factors should the nurse identify as a barrier to wound healing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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