Some older adults have impaired inflammation and wound healing because of which problem?
Number of mast cells is insufficient
Circulatory impairment
Underlying chronic illness(es)
Complement and chemotaxis are deficient
The Correct Answer is C
Choice A reason: Insufficient mast cell numbers are not a primary cause of impaired healing in older adults. Mast cells contribute to inflammation, but chronic diseases like diabetes disrupt multiple healing pathways more significantly, making this incorrect.
Choice B reason: Circulatory impairment, such as atherosclerosis, can delay healing by limiting oxygen and nutrient delivery. However, it’s often a consequence of chronic illnesses like diabetes, which broadly affect healing, making this less primary than chronic conditions.
Choice C reason: Underlying chronic illnesses, like diabetes or cardiovascular disease, impair inflammation and wound healing in older adults by disrupting immune function, collagen deposition, and perfusion. These prevalent conditions directly impact healing, making this the correct cause.
Choice D reason: Complement and chemotaxis deficiencies occur in specific immunodeficiencies, not commonly in aging. Chronic illnesses like diabetes more consistently impair healing through systemic effects, making this a less likely primary cause.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
Choice A reason: Hydration is a treatment, not a complication. Rhabdomyolysis, hyperkalemia, and AKI are complications of crush injuries, with kidney function monitoring essential. This describes an intervention, not a complication, so it’s incorrect.
Choice B reason: Rhabdomyolysis is likely from severe muscle trauma in a crush injury, releasing myoglobin and electrolytes, risking kidney damage. This matches the patient’s injury, making it a correct complication.
Choice C reason: Electrolyte monitoring, especially potassium, is critical due to hyperkalemia risk from muscle breakdown. This can cause arrhythmias, making it a correct selection for complications.
Choice D reason: Acute kidney injury (AKI) is common in rhabdomyolysis, as myoglobin damages kidneys. Given the crush injury, AKI is likely, making this a correct complication.
Choice E reason: Monitoring kidney function (creatinine, BUN, urine output) detects AKI from rhabdomyolysis. This ensures timely intervention, making it a correct choice for complications.
Correct Answer is C
Explanation
Choice A reason: A fracture is a break in the bone, as seen in the patient, but osteosarcoma is the underlying tumor causing the pathological fracture. Defining osteosarcoma as a fracture ignores its neoplastic nature, making this incorrect.
Choice B reason: A bone infection, or osteomyelitis, involves bacterial or fungal invasion, causing pain and inflammation. Osteosarcoma is a primary bone cancer, not an infection, with distinct histopathological features, making this an incorrect definition.
Choice C reason: Osteosarcoma is a malignant bone tumor, typically arising in long bones like the humerus, often causing pain, swelling, and pathological fractures. This matches the patient’s imaging findings and clinical presentation, making this the correct definition.
Choice D reason: A benign bone tumor, like an osteoma, does not metastasize or cause aggressive destruction. Osteosarcoma’s malignant nature leads to local invasion and potential metastasis, as implied by the fracture, making this incorrect.
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