A nurse is providing care for a patient who is due for surgery.
The patient’s lab results and physical history are as follows: Prealbumin level is 13 mg/dL (normal range: 15 to 36 mg/dL), Cholesterol is 230 mg/dL (normal is less than 200 mg/dL), and Fasting glucose is 110 mg/dL (normal range: 70 to 110 mg/dL). The patient has a history of hyperlipidemia and diabetes mellitus.
Which of the following factors could potentially delay the patient’s wound healing process?
The patient’s medication history
The patient’s cholesterol level
The patient’s prealbumin level
The patient’s fasting glucose level
The Correct Answer is C
Choice A rationale
While a patient’s medication history can impact wound healing, in this case, there is no specific information provided about the patient’s medications that would suggest a delay in wound healing.
Choice B rationale
Although the patient’s cholesterol level is elevated, hyperlipidemia is not typically associated with delayed wound healing.
Choice C rationale
Prealbumin is a marker of nutritional status. A low prealbumin level, like in this patient, could indicate malnutrition, which can delay wound healing. Adequate nutrition is essential for wound healing as it provides the necessary building blocks for tissue repair.
Choice D rationale
The patient’s fasting glucose level is within the normal range, so it is unlikely to impact wound healing. While poorly controlled diabetes can delay wound healing, this patient’s diabetes appears to be well-controlled.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
The correct answer is choicea. Increase daily caloric intake by 300 to 400 calories,b. Consume folic acid supplements daily, andd. Take daily iron and calcium supplements.
Choice A rationale:
Pregnant teenagers need to increase their daily caloric intake by 300 to 400 calories to support the growth and development of the fetus.
Choice B rationale:
Folic acid is crucial for preventing neural tube defects in the developing fetus.Daily supplementation is recommended.
Choice C rationale:
Pregnant teenagers need to increase their protein intake to support fetal growth and maternal health.Maintaining current protein intake is not sufficient.
Choice D rationale:
Iron and calcium are essential for the development of the fetus and the health of the mother.Daily supplementation helps prevent deficiencies.
Choice E rationale:
Limiting weight gain to no more than 15 pounds is not recommended.Healthy weight gain during pregnancy varies but is generally higher than 15 pounds to support fetal development.
Correct Answer is D
Explanation
Choice A rationale
Glaucoma is a condition that damages the eye’s optic nerve and can result in vision loss and blindness. However, it doesn’t cause a cloudy, opaque area over the lens of the eye.
Choice B rationale
Diabetic retinopathy is a diabetes complication that affects eyes. It’s caused by damage to the blood vessels of the light-sensitive tissue at the back of the eye (retina). But it doesn’t cause a cloudy, opaque area over the lens of the eye.
Choice C rationale
Macular degeneration is a medical condition which may result in blurred or no vision in the center of the visual field. But it doesn’t cause a cloudy, opaque area over the lens of the eye.
Choice D rationale
A cataract is a clouding of the lens in the eye that affects vision. Cataracts are very common in older people. Symptoms of cataracts include cloudy or blurry vision.
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