The nurse is concerned that a patient with a below-the-knee amputation is at risk for delayed healing. What information from the patient's medical history led the nurse to make this clinical decision?
Select all that apply.
1. body mass index 15
2. history of hypokalemia
3. smokes 2 ppd of cigarettes
4. takes vitamin supplements
5. treated for right heart failure
Correct Answer: 1, 2, 3, 5
Healing after an amputation is delayed if the patient's diet lacks the proper nutrients to meet the body's increased metabolic demands during healing. Electrolyte imbalances can contribute to delayed healing processes. Decreased cardiac output reduces blood flow and delays healing. Vitamin supplements would help with wound healing. Smoking compromises healing by causing vasoconstriction and reduced blood flow to the stump.
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A public health nurse collaborates with agencies to address the problem of obesity in the community. Who would be the most appropriate people to include in this collaborative partnership? Select all that apply
a. Local health department staff members b. Restaurant owners c. Parks and recreation department staff members d. Church representatives