Following change-of-shift report, the nurse on a surgical unit is reviewing the assignment. Which 70-year-old patient does the nurse assess as being at greatest risk for impeded wound healing?
A) A man with diabetes mellitus
B) A woman who quit smoking 10 years ago
C) A man with hyperlipidemia
D) A woman on antihypertensive medication
A) A man with diabetes mellitus
Explanation: A) Systemic risk factors that impede wound healing include advanced age, malnutrition, nutritional status (vitamins A, C, E, and K; minerals zinc, magnesium, copper, and iron), immune deficiency, smoking, medications (corticosteroids, antineoplastics), and metabolic status (diabetes mellitus). Therefore, the 70-year-old man has two systemic risk factors, diabetes mellitus and advanced age.
B) The 70-year-old woman who quit smoking 10 years ago has lowered her risk of impairing wound healing.
C) Hyperlipidemia is not one of the systemic risk factors for impaired wound healing.
D) Taking antihypertensive medications does not increase the risk of impaired wound healing.
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