Author Question: The nurse is collaborating with the dietitian about a patient with a Stage III pressure ulcer. Which ... (Read 32 times)

humphriesbr@me.com · **on:** Jul 22, 2018

The nurse is collaborating with the dietitian about a patient with a Stage III pressure ulcer. Which nutrient will the nurse most likely increase after collaboration with the dietitian?

a. Fat
b. Protein
c. Vitamin E
d. Carbohydrate

Question 2

A nurse is caring for a postoperative patient. Which finding will alert the nurse to a potential wound dehiscence?

a. Protrusion of visceral organs through a wound opening
b. Chronic drainage of fluid through the incision site
c. Report by patient that something has given way
d. Drainage that is odorous and purulent

aham8f · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: B
Protein needs are especially increased in supporting the activity of wound healing. The physiological processes of wound healing depend on the availability of protein, vitamins (especially A and C), and the trace minerals of zinc and copper. Wound healing does not require increased amounts of fats or carbohydrates. Vitamin E will not be increased for wound healing.

Answer to Question 2

ANS: C
Patients often report feeling as though something has given way with dehiscence. Dehiscence occurs when an incision fails to heal properly and the layers of skin and tissue separate. It involves abdominal surgical wounds and occurs after a sudden strain such as coughing, vomiting, or sitting up in bed. Evisceration is seen when vital organs protrude through a wound opening. When there is an increase in serosanguineous drainage from a wound in the first few days after surgery, be alert for the potential for dehiscence. Infection is characterized by drainage that is odorous and purulent.