An older adult client with poor nutritional intake is ...

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An older adult client with poor nutritional intake is demonstrating signs of poor wound healing. Which actions by the nurse are appropriate?
 
  Select all that apply.
  A) Ensure an adequate fluid intake.
  B) Assist with deep-breathing exercises.
  C) Medicate for pain prior to dressing changes.
  D) Request a dietary consult for nutritional support.
  E) Encourage ambulation.

Question 2

The nurse is assessing a client with a surgical wound. Which observation indicates that care has been effective for this client?
 
  A) The client's temperature is 100 F.
  B) The client performs wound care independently.
  C) There is only a scant amount of purulent drainage on the dressing.
  D) A small area of erythema and edema is present.

[softEldritch]

Answer to Question 1

Answer: A, D

The nurse should ensure that the client receives sufficient protein and vitamins to support wound healing. The nurse should consult with a dietitian to determine ways to improve the client's intake to support wound healing. The client also needs an adequate fluid intake for wound healing. Deep-breathing exercises and ambulation may or may not help the client at this time. Medicating for pain prior to dressing changes is not going to help with wound healing.

Answer to Question 2

Answer: B

Evidence of effective care for a client with a surgical wound includes the client performing wound care independently. Purulent drainage and an elevated temperature could mean the wound is infected. Erythema and edema could indicate the wound is inflamed or infected.

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Thank you

[softEldritch]

Happy to help you