Which dietary intervention is most important for promoting skin integrity in clients at risk for breakdown?
Focus on vitamin C supplements exclusively.
Reduce fat intake to prevent weight gain.
Ensure adequate protein intake to promote healing.
Increase carbohydrate intake to provide energy.
The Correct Answer is C
A. Focus on vitamin C supplements exclusively: While Vitamin C is essential for collagen synthesis, an exclusive focus neglects other critical nutrients.
B. Reduce fat intake to prevent weight gain: Appropriate fat intake is necessary for cell membrane integrity and the absorption of fat-soluble vitamins (A, D, E, K), which support skin health.
C. Ensure adequate protein intake to promote healing: Protein (specifically amino acids) is the building block for new tissue, collagen, and immune cells. Without adequate protein, the body cannot repair damaged tissue or mount an effective inflammatory response, which critically impairs skin integrity and wound healing.
D. Increase carbohydrate intake to provide energy: This is necessary, as energy is required for healing, but protein is the structural material, making it the highest priority for tissue promotion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Apply alcohol-based lotion to dry out the site: Alcohol is cytotoxic and irritating and would likely worsen the irritation and could harm the healing abrasion.
B. Apply a thick, occlusive dressing to prevent exposure: An occlusive dressing would trap the increased drainage and moisture against the skin, which would lead to maceration and worsening of the irritation.
C. Increase the frequency of bathing to keep the area clean: While cleanliness is important, excessive bathing can dry out the skin and does not directly address the localized issue beneath the bandage.
D. Change the bandage and clean the area with an antiseptic:The nurse must remove the soiled bandage to visualize and assess the wound and surrounding skin (for signs of infection, maceration, or inflammation). The area should then be gently cleansed (with saline or an appropriate wound cleanser) and a new, appropriate dressing applied to manage the increased drainage.
Correct Answer is D
Explanation
A. Presence of slough or eschar: Both Stage 2 and Stage 3 injuries may eventually develop some slough if they deteriorate or if they are mismanaged. However, slough and eschar are defining characteristics of an unstageable injury if they obscure the wound base. A clean Stage 2 injury will not have slough or eschar.
B. Nonblanchable erythema: Nonblanchable erythema is the defining characteristic of a Stage 1 pressure injury, which involves intact skin. Stage 2 and Stage 3 both involve skin loss.
C. Exposed muscle or bone: Exposed muscle or bone indicates a Stage 4 pressure injury.
D. Partial-thickness skin loss: A Stage 2 pressure injury is defined by partial-thickness loss of the dermis. A Stage 3 pressure injury is defined by full-thickness tissue loss involving the subcutaneous fat. This difference in thickness is the key distinction.
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