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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Instruct the client to use the call light for assistance. This is important but should be done after ensuring the alarm is working correctly.
B. Document the type of alarm used. Documentation is necessary but should follow ensuring the device is functioning.
C. Test the alarm and battery of the device. Ensuring the bed alarm and battery are functioning properly is critical to the safety of the client. The alarm needs to be reliable to alert staff if the client attempts to get out of bed.
D. Apply the sensor pad to the client's bed. This step is necessary but should follow testing the alarm and battery to ensure they are functioning.

A. Place an alert sign on the door of the operating room. B. Provide powdered gloves for operating room staff. C. Use multidose vials that have rubber medication stoppers. D. Remove stopcocks from IV tubing.

Correct Answer is A

Explanation

A. Place an alert sign on the door of the operating room. Alerting all staff to the client's latex allergy is crucial to ensure that no latex-containing materials are used during the procedure.
B. Provide powdered gloves for operating room staff. Powdered gloves often contain latex and can increase the risk of latex exposure. Non-latex, powder-free gloves should be used.
C. Use multidose vials that have rubber medication stoppers. Multidose vials with rubber stoppers can contain latex, which poses a risk to the client. Single-dose vials or vials with latex-free stoppers should be used.
D. Remove stopcocks from IV tubing. Stopcocks are not a common source of latex. The focus should be on avoiding latex-containing materials and ensuring all staff are aware of the allergy.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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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?