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The nurse is educating a client following a wound debridement to increase which protein in their diet to aid in wound healing. The nurse should educate the client to consume which of the following foods: Select all that apply:

Rice

Beef

Eggs

Olive oil

Chicken

Apples

Salmon

Answer and Explanation

Correct Answer : B,C,E,G

A. Rice: Rice is primarily a carbohydrate source and is low in protein relative to the other options; it is not a primary protein choice for promoting wound healing.

B. Beef: Beef is a high-quality, complete protein source that supplies essential amino acids (plus iron and zinc) important for tissue repair.

C. Eggs: Eggs are a complete protein with all essential amino acids and support collagen synthesis and wound healing.

D. Olive oil: Olive oil is a healthy fat and provides calories and some anti-inflammatory benefits but is not a significant protein source.

E. Chicken: Chicken is a lean, high-quality protein source useful for rebuilding tissue and supporting healing.

F. Apples: Apples provide fiber and vitamins but are low in protein; they are not a primary protein source for wound repair.

G. Salmon: Salmon supplies high-quality protein and also provides omega-3 fatty acids, supporting nutrition for healing.

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Correct Answer is C

Explanation

A. Orthopnea: Orthopnea describes shortness of breath when lying flat, not the visible inward pulling of chest wall muscles.

B. Stridor: Stridor is a high-pitched inspiratory sound from upper airway obstruction, not the visual chest wall retraction.

C. Retractions: Retractions describe inward movement of intercostal or suprasternal tissues during inspiration and indicate increased work of breathing or respiratory distress.

D. Hyperventilation: Hyperventilation is rapid, deep breathing (increased minute ventilation) and does not specifically describe inward chest wall movement.

A. Heart rate of 77 B. Urine output of 300 ml in 24-hour C. Temperature of 99.2 oral D. Pain rating 3 on 1-10 pain scale

Correct Answer is B

Explanation

A. Heart rate of 77: A heart rate of 77 bpm is within normal resting range for many adults and would not typically demand immediate intervention.

B. Urine output of 300 ml in 24-hour: 300 ml in 24 hours is markedly low (oliguria); inadequate urine output may indicate hypovolemia, renal impairment, or obstruction and requires immediate assessment and intervention.

C. Temperature of 99.2 oral: 99.2°F is a low-grade elevation and can be common after surgery; it is not usually an immediate emergency at 24 hours post-op.

D. Pain rating 3 on 1–10 pain scale: A pain score of 3 is mild/moderate and typically managed with routine analgesia and reassessment rather than immediate urgent action.

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The nurse is educating a client following a wound debridement to increase which protein in their diet to aid in wound healing. The nurse should educate the client to consume which of the following foods: Select all that apply:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse notes a client's intercostal muscles are pulling inwards and reports difficulty breathing. The nurse would document which of the following to describe this type of abnormal breathing pattern:

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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