A patient has an abdominal wound, healing by second intention. Which of the following vitamins would aid in the healing of this wound by promoting tissue formation?
1. C
2. K
3. A
4. E
3
Rationale: Vitamin A promotes tissue formation, synthesizes collagen, and facilitates epithelialization. Vitamin C is required for collagen synthesis and activates white blood cells. Vitamin K is essential for blood clotting. Vitamin E decreases platelet adhesion.
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What could the nurse recommend to a child's mother to encourage a toddler to practice independence?
a. Offer a variety of items to choose from to stimulate his mind. b. Allow the child to determine his own daily routine. c. Offer him a choice between two items. d. Set the routine herself, but discuss with her toddler how he or she would have done it differently.
To assess a client for nocturia, the nurse should ask which question?
a. How long can you postpone urination? b. How many times do you wake up at night and urinate? c. Do you leak urine or lose bladder control? d. Do you feel you completely empty your bladder?
The nurse notes an elevated jugular venous pressure (JVP). Which disease process can cause this assessment finding?
1) Hypovolemia 2) Constrictive pericarditis 3) Right ventricular hypertrophy 4) Abnormal venous wave forms
An older adult client diagnosed as being in the early stage of Alzheimer's disease shares with the nurse that her sleep is interrupted by "the noises I hear all through the night
" Which of the fol-lowing does the nurse give as the most likely reason for this problem? a. The client's age b. A lack of presleep relaxation c. The amount of noise entering into the client's environment d. A manifestation of the disease process causing the brain disorder