Nokea
The nurse reminds the 85-year-old patient that his healing will be slower due to age-related changes such as: (Select all that apply)
- A. Atherosclerosis
- B. Diminished lung function
- C. Excessive production of blood factors
- D. Increased immunity
- E. slow metabolism
Correct Answer: A,B,E
Rationale: A: Reduces blood flow. B: Limits oxygen delivery. E: Slows cellular repair. Immunity decreases with age (not D), and blood factors don't increase (C).
You may also like to solve these questions
When applying an ice pack, it is necessary to:
- A. Fill the pack and refreeze it.
- B. Cover the pack with plastic wrap.
- C. Use a light cover over the pack.
- D. use small ice cubes
Correct Answer: C
Rationale: A light cover prevents direct skin contact, reducing frostbite risk while allowing cold therapy.
Superficial wounds heal faster when kept:
- A. Moist
- B. Dry
- C. Covered with a wet-to-dry dressing
- D. Debrided
Correct Answer: A
Rationale: Moist environments promote epithelialization and faster healing of superficial wounds.
The nurse is caring for a 48-year-old female patient with diabetes mellitus (DM), hypertension (HTN), and limited mobility. Upon assessment, she notes that there is a pink, viable wound bed with partial-thickness skin loss. Which stage of wound healing does this describe?
- A. Stage 1
- B. Stage 2
- C. Stage 3
- D. Stage 4
Correct Answer: B
Rationale: Stage 2 involves partial-thickness loss with a pink, viable wound bed, unlike Stage 1 (intact skin) or Stage 3 (full-thickness).
A nurse is ambulating a patient in the hall a few days after abdominal surgery when the patient says, "I think something just let go." What should be the nurse's initial intervention?
- A. Ask someone to quickly get an abdominal binder.
- B. Seat the patient in a nearby chair.
- C. Instruct the patient to pant to reduce abdominal tension.
- D. Assist the patient into a supine position.
Correct Answer: D
Rationale: Assisting to a supine position reduces strain on the abdominal wound, preventing further dehiscence.
A nurse performing a right eye irrigation will position the patient in which of the following ways?
- A. Upright with the head tilted toward the left eye.
- B. Supine with the head hyperextended.
- C. Upright with the head hyperextended.
- D. supine with the head tilted toward the right eye.
Correct Answer: A
Rationale: Tilting the head toward the unaffected (left) eye allows fluid to flow from the right eye outward, avoiding contamination.