A homeless client asks, "Why can't I get this wound on my foot to heal?" Knowing that the client is not receiving good nutrition on a regular basis, the nurse will reply:
A) "Maybe if you could come to the clinic every day, we can help you change your dressing."
B) "Right now your immune system is decreased because you are not eating a balanced diet."
C) "Maybe if you could find a place to sleep that is cleaner than where you usually sleep that will help."
D) "We just need to make sure you are getting the right antibiotics."
Ans: B
Feedback:
As protein is lost from the liver, hepatic synthesis of proteins declines, and plasma protein levels decrease. There also is a decrease in immune cells. Wound healing is poor, and the body is unable to fight off infection because of multiple immunologic malfunctions throughout the body.
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