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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale

Dehydration is a common finding in a patient who has had diarrhea for several days. Symptoms of dehydration can include dark-colored urine, excessive thirst, fatigue, dizziness, or light-headedness.

Choice B rationale

Diarrhea does not typically cause decreased bowel sounds.

Choice C rationale

A rigid abdomen is not a typical finding in a patient who has had diarrhea for several days.

Choice D rationale

Hypothermia is not a typical finding in a patient who has had diarrhea for several days.

A. The skin around the stoma is red. B. The ostomy is draining frequently. C. The stool is yellow-green. D. The stoma is moist and pink.

Correct Answer is A

Explanation

A pale stoma can indicate poor blood flow, which is a serious concern that should be reported to the provider immediately. A healthy stoma should be moist and dark red or pink in color.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a patient who has had diarrhea for several days. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is assessing a client who has a colostomy and notices that the stoma is pale in color. Which of the following findings should the nurse report to the provider?

Correct Answer is A

Explanation

A nurse is preparing to insert an indwelling urinary catheter for a client. Which of the following actions should the nurse plan to take?

A nurse is assessing a client who has impaired mobility.The nurse should monitor the client for a pressure injury due to which of the following factors?

A nurse is preparing to administer amoxicillin 30 mg/kg/day in 2 equally divided doses every 12 hr to a toddler who weighs 33 lb. Available is amoxicillin 200 mg/5 mL suspension. How many mL should the nurse administer per dose?

A nurse is caring for a patient who has impaired speech. What actions should the nurse take?

A nurse is assessing a patient’s wound dressing and observes a watery red drainage. How should the nurse document this type of drainage?

A nurse is caring for a patient who has a cloudy, opaque area over the lens of one eye. Which of the following visual impairments should the nurse identify this as a symptom of?

A nurse is providing care for a patient in a long-term care facility who is receiving enteral feedings via a nasogastric (NG) tube.What action should the nurse take before administering the tube feeding?

A nurse is preparing to irrigate a wound for a patient. What actions should the nurse plan to take?