A patient has developed a pressure ulcer. Which laboratory data will be important for the nurse to check?

a. Vitamin E
b. Potassium
c. Albumin
d. Sodium


ANS: C
Normal wound healing requires proper nutrition. Serum proteins are biochemical indicators of malnutrition, and serum albumin is probably the most frequently measured of these parameters. The best measurement of nutritional status is prealbumin because it reflects not only what the patient has ingested but also what the body has absorbed, digested, and metabolized. Zinc and copper are the minerals important for wound healing, not potassium and sodium. Vitamins A and C are important for wound healing, not vitamin E.

Nursing

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A patient says, "I've never heard of an acute coronary syndrome. Please explain what happened to me." The nurse should respond, "Acute coronary syndrome is:

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A woman has requested an epidural for her pain. She is 5 cm dilated and 100% effaced. The baby is in a vertex position and is engaged

The nurse increases the woman's intravenous fluid for a preprocedural bolus. She reviews her laboratory values and notes that the woman's hemoglobin is 12 g/dL, hematocrit is 38%, platelets are 67,000, and white blood cells (WBCs) are 12,000/mm3. Which factor would contraindicate an epidural for the woman? a. She is too far dilated. c. She has thrombocytopenia. b. She is anemic. d. She is septic.

Nursing