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) If the infant turns away after taking most of the feeding, it's a sign that they are full. Continuing to feed them after they ’ave indicated fullness can lead to overfeeding and discomfort. Therefore, it's important for the parents to recognize cues of satiety and sto’ the feeding accordingly.

B) Formula should not be changed to whole milk until the infant is at least 12 months old. Whole milk is not recommended as a replacement for formula before this age because it does not provide the appropriate balance of nutrients required for infant growth and development.

C) Formula that remains in the bottle should not be saved for another feeding because bacteria from the infant's mouth can contaminate the formula, increasing the risk of infe’tion. Any unused formula should be discarded after the feeding session.

D) Diluting formula to slow down weight gain is not recommended and can lead to inadequate nutrition for the infant. Infants should receive the appropriate concentration of formula to meet their nutritional needs for growth and development. If concerns arise about weight gain, parents should consult with their healthcare provider for appropriate guidance and recommendations.

A. Initiate early feeding. B. Suction excess mucus with a bulb syringe. C. Prepare for an exchange blood transfusion. D. Begin phototherapy.

Correct Answer is A

Explanation

A) Initiate early feeding:

Early and frequent breastfeeding or formula feeding helps stimulate bowel movements, which aid in the elimination of bilirubin from the body. Breast milk also contains substances that promote bilirubin excretion, making early feeding an effective preventive measure against neonatal jaundice.

B) Suction excess mucus with a bulb syringe:

While clearing excess mucus can facilitate breathing and feeding, it does not directly prevent jaundice.

C) Prepare for an exchange blood transfusion:

Exchange transfusion is a treatment option for severe jaundice that has not responded to other measures. It is not a preventive measure.

D) Begin phototherapy:

Phototherapy is a treatment for jaundice after it has occurred, not a preventive measure. It involves exposing the newborn's skin to specific wavelengths of light to break down excess bilirubin.

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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

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