Which of the following would be the most important piece of assessment data to gather with regard to wound healing?
a. Muscular strength assessment
b. Sleep assessment
c. Pulse oximetry assessment
d. Sensation assessment
ANS: C
Oxygen fuels the cellular functions essential to the healing process; the ability to perfuse tissues with adequate amounts of oxygenated blood is critical in wound healing. Blood flow through the pulmonary capillaries provides red blood cells for oxygen attachment. Oxygen diffuses from the alveoli into the pulmonary blood; most of the oxygen attaches to hemoglobin molecules within the red blood cells. Red blood cells carry oxygenated hemoglobin molecules through the left side of the heart and out to the peripheral capillaries, where the oxygen detaches, depending on the needs of the tissues. Pulse oximetry measures the oxygen saturation of blood. Assessment of muscular strength and sensation, although useful for fitness and mobility testing, does not provide any data with regard to wound healing. Sleep, although important for rest and for integration of learning and restoration of cognitive function, does not provide any data with regard to wound healing.
You might also like to view...
To assess a patient's cranial nerve function, the nurse should assess:
A) Hand grip B) Orientation to person, time, and place C) Arm drifting D) Gag reflex
Which microorganism is the most common cause of peritonsillar abscess?
A. Epstein-Barr virus B. Streptococcus pneumoniae C. Mycoplasma D. Grp A beta hemolytic streptococcus
The HIE initiatives are often started by which of the following?
1. Research teams, advisory councils, and executive committees 2. Informaticians 3. LeapFrog Group 4. TIGER
Match each term with the correct statement below.
A. reporting what you see and hear B. providing patient information at the care conference C. what you think and feel D. taking vital signs when you admit the patient, then reporting to the nurse E. change in nursing action F. monitoring the effectiveness of the plan G. fluid intake increased to 2500 mL per day as listed on the care plan