A client is admitted for treatment of various poorly healing, ...

[codyclark]

A client is admitted for treatment of various poorly healing, infected leg ulcers. The nurse recog-nizes that the client's nutritional history is of primary importance since:
 
  1. Nutrition is vital to the client's overall health status
  2. The client's food intake will likely be decreased as a result of the illness
  3. Wound healing and infection prevention are negatively impacted by poor nutri-tion
  4. The client's habits regarding food intake are directly related to this hospitalization

Question 2

Which of the following clients is at greatest risk for acquiring a health careassociated (noso-comial) infection?
 
  1. A 32-year-old hospitalized for 2 days for migraine headaches
  2. A client with type 1 diabetes who has been experiencing hypoglycemia
  3. A trauma victim taken directly from the ED to surgery and then to the postsurgi-cal unit
  4. A pregnant 24-year-old diagnosed with both sinusitis and otitis media and pre-scribed an oral antibiotic

[orangecrush]

Answer to Question 1

ANS: 3
A reduction in protein, carbohydrates, and fats as a result of illness, inadequate diet, or debility increases a client's susceptibility to infection and delays wound healing. While the other options are not incorrect, they are not as directly related to the cause of the client's poorly healing, in-fected wounds.

Answer to Question 2

ANS: 3
The number of health care employees having direct contact with a client, the type and number of invasive procedures, the therapy received, and the length of hospitalization influence the risk of infection. The other options do not have the potential for infection as does the client who has been treated in various locations within the health care facility.