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?

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.

A) "You may carry your grandchild to the room":

While it may seem like a polite and accommodating response, allowing the grandmother to carry the newborn to the mother's room poses potential risks. Without proper training and supervision, there is a risk of mishandling or dropping the newborn, especially if the grandmother is unfamiliar with newborn care practices. Therefore, this response does not prioritize the safety and security of the newborn.

B) "Have the mother call and I will take the baby to the room":

This response places the responsibility on the mother to initiate the transfer of the newborn to the room. While it ensures that the mother is aware of and consenting to the movement of the newborn, it may cause delays in reuniting the newborn with the mother. Additionally, if the mother is unable to call or communicate immediately, it could prolong the separation between the newborn and the mother.

C) "If you show me your photo identification, you can take the infant":

Requesting photo identification from the grandmother may seem like a security measure to ensure that only authorized individuals handle the newborn. However, allowing non-staff members to transport newborns without proper supervision or training raises safety concerns. Without proper verification of the grandmother's identity against authorized visitors or family members, this approach may compromise the safety and security of the newborn.

D) "You can push the baby to the room in a wheeled bassinet":

This response prioritizes the safety and security of the newborn by providing a safe and appropriate means of transportation to the mother's room. Using a wheeled bassinet ensures that the newborn is securely positioned and protected during transit. It also aligns with hospital protocols for the safe movement of newborns within the facility, minimizing the risk of accidents or mishaps. Therefore, this response is the most appropriate option to ensure the well-being of the newborn while facilitating the grandmother's desire to take the baby to the mother's room.