A child had an appendectomy and was discharged home at 48 hours postoperative. A week later the child is readmitted for delayed wound healing
Which causes of delayed wound healing will the nurse review prior to assessing the child? Standard Text: Select all that apply. 1. Infection
2. Predisposing chronic condition, such as diabetes
3. Hypervolemia
4. Inadequate nutrition
5. Hypoxemia
6. Corticosteroid therapy
1,2,4,5,6
Rationale 1: Infection can affect healing and cause excessive scarring.
Rationale 2: Conditions such as diabetes affect circulating blood volume and are known to affect healing.
Rationale 3: Hypovolemia, not hypervolemia, would inhibit inflammation due to low circulating blood volume.
Rationale 4: Poor nutrition without proper protein and calorie intake will affect healing.
Rationale 5: Hypoxemia makes tissues susceptible to infection due to insufficient oxygenation.
Rationale 6: Corticosteroid therapy or other immunocompromising therapy will prevent macrophages from migrating to the site of injury and suppress epithelialization.
Global Rationale:
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A child with severe gastroenteritis is being admitted to a semi-private room on the pediatric unit. The nurse in charge should place this client with which roommate?
1. An infant with meningitis 2. A child with fever and neutropenia 3. Another child with gastroenteritis 4. A child recovering from an appendectomy
The nurse is caring for a patient who is on strict isolation. Which statement indicates a break in technique?
a. Isolation supplies (gowns, masks, gloves) are placed inside the patient's room. b. The nurse washes her hands before applying cap, gown, and mask. c. Soiled linens are double-bagged. d. When leaving the patient's room, the nurse washes her hands for 10 minutes after removing gloves, mask, gown, and cap.
Mr. J.'s wife is pregnant for the third time. One child was born with cystic fibrosis and the other is healthy. He questions the chance that this child will have cystic fibrosis. This type of testing is known as:
1. occurrence risk 2. recurrence risk. 3. predictive testing. 4. predisposition testing.
The model that fails to address problems that relate to the cultural, historical, social and environmental influences of health and wellbeing is the:
a. scientific model. b. biomedical model. c. traditional model. d. partnership model.