In formulating a plan of care for a patient with colon cancer who will be having a colon resection, which local factor should the nurse recognize as affecting wound healing?
A) Smoking
B) Poor nutrition
C) Advanced age
D) Reduced blood flow and hypoxia
D) Reduced blood flow and hypoxia
Explanation: A) Both local and systemic factors can affect wound healing. Systemic factors 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).
B) Both local and systemic factors can affect wound healing. Systemic factors 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).
C) Both local and systemic factors can affect wound healing. Systemic factors 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).
D) Both local and systemic factors can affect wound healing. Local factors include blood flow and hypoxia. Blood flow to the injury site is one of the most important factors affecting the healing process. Hypoxia can significantly delay or even stop the wound healing process.
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