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 D
Explanation
A. Install a bed exit sensor pad at the foot of the client's bed. While a bed exit sensor pad can be useful, it is typically placed on the mattress near the client's hips or lower back, not at the foot of the bed. This placement ensures it detects movement when the client tries to get up, thereby alerting staff to provide assistance.
B. Encourage the client to ambulate in compression stockings. Compression stockings can help with circulation but do not directly address fall prevention. Additionally, they can be slippery on some surfaces, potentially increasing the risk of falls if proper footwear is not used.
C. Raise all four side rails for the client at bedtime. Raising all four side rails is considered a form of restraint and can increase the risk of injury if the client attempts to climb over them. It can also limit the client’s ability to get out of bed independently and safely.
D. Place a raised toilet seat in the client's bathroom. This intervention is appropriate for fall prevention. A raised toilet seat can help clients with mobility issues by making it easier to sit down and stand up, thereby reducing the risk of falls in the bathroom, which is a common site for falls.
Correct Answer is B
Explanation
A. Cleanse the urethral meatus. This step occurs after preparing the sterile field and donning sterile gloves.
B. Apply sterile gloves. This is correct. The first step in the standardized procedure is to apply sterile gloves to maintain aseptic technique throughout the catheter insertion process.
C. Attach the pre-filled syringe to the inflation bulb. This step is part of the preparation but comes after the sterile gloves are applied.
D. Saturate the cotton balls with antiseptic. This step occurs after donning sterile gloves.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.