A nurse is reviewing laboratory reports of an older adult client who is postoperative. Which of the following laboratory results should indicate to the nurse that the client is at risk for delayed wound healing?
Increased hemoglobin
Decreased albumin
Increased leukocytes
Decreased coagulation
The Correct Answer is B
A. Increased haemoglobin is not typically associated with delayed wound healing. Elevated hemoglobin can occur in conditions such as dehydration or polycythemia.
B. Decreased albumin: This is the correct answer. Albumin is a protein that is essential for wound healing. Low levels of albumin (hypoalbuminemia) can indicate poor nutritional status, which can delay wound healing.
C. Increased leukocytes typically indicates infection or inflammation but does not directly suggest delayed wound healing unless the increase is due to a significant infection.
D. Decreased coagulation can indicate a bleeding disorder, but it is not directly linked to delayed wound healing. However, proper coagulation is important for the initial stages of wound healing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Older adults have difficulty maintaining friendships. This statement is not universally true and can be misleading. While some older adults may face challenges in maintaining friendships due to health issues or mobility limitations, many continue to have active social lives.
B. Older adults are completing Erikson's developmental task of integrity vs despair. According to Erikson’s stages of psychosocial development, older adults (65 years and older) face the challenge of reflecting on their lives and achieving a sense of integrity versus despair.
C. Older adults are less involved in political and community activities. This statement is not necessarily true. Many older adults remain active in political and community activities.
D. Older adults are in Piaget's developmental stage of concrete operations. The concrete operational stage is part of Piaget’s theory of cognitive development and typically applies to children aged 7 to 11 years.
Correct Answer is D
Explanation
A. Check with the surgery department that the procedure is correct. While important, it does not address the client's misunderstanding.
B. Notify the provider after the client signs the form. The client should not sign the form until they understand the procedure.
C. Explain to the client that both breasts are to be removed. The nurse should not provide surgical explanations beyond their scope.
D. Ask the provider to clarify the procedure with the client before she signs the form. The provider must ensure the client understands the procedure before consent is signed.
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