.png){kind=logo}
1. 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
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.
2. The nurse is completing an assessment on a patient who has a Stage IV
pressure ulcer. The wound is odorous, and a drain is currently in place.
Which statement by the patient indicates issues with self-concept?
a. “I am so weak and tired. I want to feel better.â€Â
b. “I am thinking I will be ready to go home early next week.â€Â
“I am ready for my bath and linen change right now since this is
c. awful.â€Â
d. “I am hoping there will be something good for dinner tonight.â€Â
ANS: C
Body image changes can influence self-concept. The wound is odorous, and a
drain is in place. The patient who is asking for a bath and change in linens
and states that this is awful gives you a clue that he or she may be concerned
about the smell in the room. Factors that affect the patient’s perception of the
wound include the presence of scars, drains, odor from drainage, and
temporary or permanent prosthetic devices. The patient’s stating that he or
she wants to feel better, talking about going home, and caring about what isÂÂ
.png)